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General NPI Number Information
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NPI Number | 1942334701
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Entity Type | Organization
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Legal Business Name | BROOKS PHARMACY
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4701 TROUSDALE DR
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City | NASHVILLE
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State | TN
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Zip | 37220-1320
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Country | US
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Telephone | 615-832-1447
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Fax | 615-832-1371
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Provider Business Mailing Address
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Address Line | 4701 TROUSDALE DR
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City | NASHVILLE
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State | TN
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Zip | 37220-1320
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Country | US
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Telephone | 615-832-1447
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Fax | 615-832-1371
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Authorized Official
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Title or Position | OWNER
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Name | MR. GLENN C BROOKS
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Credential | RPH
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Telephone | 615-832-1447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | TN0914
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License Number State | TN
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