MEDICARE: AUDREY WALDROP PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835S0206X	Solid Organ Transplant Pharmacist	41481	TN

General Provider Information

NPI Number	:	1063357366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDREY WALDROP PHARMD

Provider Business Mailing Address
First Line	:	262 JESSE DR
Second Line	:
City	:	PLEASANT VIEW
State	:	TN
Zip	:	37146-2504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 CHILDRENS WAY
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0005
Country	:	US
Telephone Number	:	260-385-4986
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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