MEDICARE: DR. ABIGAIL TAYLOR LANGFORD 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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	44260	TN
2	183500000X	Pharmacist	44260	TN

General Provider Information

NPI Number	:	1497372221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABIGAIL TAYLOR LANGFORD PHARMD

Provider Business Mailing Address
First Line	:	6670 CHARLOTTE PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-4202
Country	:	US
Telephone Number	:	615-354-5109
Fax Number	:

Provider Business Practice Location Address
First Line	:	665 S MOUNT JULIET RD
Second Line	:
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-6483
Country	:	US
Telephone Number	:	615-773-0255
Fax Number	:

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

Provider Enumeration Date	:	06/27/2020
Last Update Date	:	08/08/2023

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