Healthcare Provider Details

I. General information

NPI: 1942590211
Provider Name (Legal Business Name): CHRISTOPHER BURKE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2011
Last Update Date: 04/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 HARDING RD
NASHVILLE TN
37205-2005
US

IV. Provider business mailing address

4220 HARDING RD
NASHVILLE TN
37205-2005
US

V. Phone/Fax

Practice location:
  • Phone: 615-456-5055
  • Fax:
Mailing address:
  • Phone: 615-456-5055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number33206
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: