Healthcare Provider Details

I. General information

NPI: 1427372432
Provider Name (Legal Business Name): CASEY A. OWEN RPH,PHARMD,BCACP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2010
Last Update Date: 09/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 24TH AVE S
NASHVILLE TN
37212-2637
US

IV. Provider business mailing address

208 VALLEY BEND DR
NASHVILLE TN
37214-1254
US

V. Phone/Fax

Practice location:
  • Phone: 615-867-6000
  • Fax:
Mailing address:
  • Phone: 205-902-5441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number33789
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: