Healthcare Provider Details

I. General information

NPI: 1861798720
Provider Name (Legal Business Name): NASHVILLE PHARMACY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2011
Last Update Date: 11/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 THOMPSON LN STE 57100
NASHVILLE TN
37204-3631
US

IV. Provider business mailing address

PO BOX 157
BRENTWOOD TN
37024-0157
US

V. Phone/Fax

Practice location:
  • Phone: 615-371-1210
  • Fax: 615-371-1270
Mailing address:
  • Phone: 615-371-1210
  • Fax: 615-371-1270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number3580
License Number StateTN

VIII. Authorized Official

Name: KEVIN HARTMAN
Title or Position: OWNER
Credential:
Phone: 615-371-1210