Healthcare Provider Details

I. General information

NPI: 1851844187
Provider Name (Legal Business Name): ASHLEY ROBESON BEZIAT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2016
Last Update Date: 08/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1241 ROBINSON RD
OLD HICKORY TN
37138-3345
US

IV. Provider business mailing address

1241 ROBINSON RD
OLD HICKORY TN
37138-3345
US

V. Phone/Fax

Practice location:
  • Phone: 615-847-3109
  • Fax: 615-847-3641
Mailing address:
  • Phone: 615-847-3109
  • Fax: 615-847-3641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number40397
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: