MEDICARE: DR. BRETT BRYANT PHARM.D.

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	7445	TN
2	183500000X	Pharmacist	PH042052	MO

General Provider Information

NPI Number	:	1639497373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRETT BRYANT PHARM.D.

Provider Business Mailing Address
First Line	:	305 SEABOARD LN
Second Line	:	SUITE 318
City	:	FRANKLIN
State	:	TN
Zip	:	37067-8287
Country	:	US
Telephone Number	:	615-771-8790
Fax Number	:	615-771-1829

Provider Business Practice Location Address
First Line	:	305 SEABOARD LN
Second Line	:	SUITE 318
City	:	FRANKLIN
State	:	TN
Zip	:	37067-8287
Country	:	US
Telephone Number	:	615-771-8790
Fax Number	:	615-771-1829

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

Provider Enumeration Date	:	05/05/2010
Last Update Date	:	05/05/2010

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