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NPI Code Detail

MEDICARE: MR. JEGANNATHAN RENGARAJAN R.PH

MEDICARE: MR. JEGANNATHAN RENGARAJAN R.PH
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
1183500000XPharmacist27464TN

General Provider Information

NPI Number : 1801187141
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEGANNATHAN RENGARAJAN R.PH
Provider Business Mailing Address
First Line : 2024 UNIVERSE CT
Second Line :
City : NOLENSVILLE
State : TN
Zip : 37135-9554
Country : US
Telephone Number : 615-668-8425
Fax Number :
Provider Business Practice Location Address
First Line : 2615 FRANKLIN PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-3007
Country : US
Telephone Number : 615-298-4806
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2011
Last Update Date : 04/20/2011

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