MEDICARE: WESTON KEEN,RPH,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	183500000X	Pharmacist	020699	KY

General Provider Information

NPI Number	:	1215554910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WESTON KEEN,RPH,PHARMD

Provider Business Mailing Address
First Line	:	715 MILL CREEK MEADOW DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-2573
Country	:	US
Telephone Number	:	615-812-8493
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 24TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-2637
Country	:	US
Telephone Number	:	615-327-4751
Fax Number	:

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

Provider Enumeration Date	:	06/29/2020
Last Update Date	:	05/11/2026

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