MEDICARE: CHATWOOD PHARMACY INC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1518538412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHATWOOD PHARMACY INC

Provider Business Mailing Address
First Line	:	2140 BANDYWOOD DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2703
Country	:	US
Telephone Number	:	615-292-3359
Fax Number	:	615-297-6153

Provider Business Practice Location Address
First Line	:	2140 BANDYWOOD DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2703
Country	:	US
Telephone Number	:	615-292-3359
Fax Number	:	615-297-6153

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	JEREMY JOINER
Credential	:	PHARMD
Telephone Number	:	615-292-3359

Provider Enumeration Date	:	07/02/2021
Last Update Date	:	07/02/2021

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Directions to “CHATWOOD PHARMACY INC ” Practice Location

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