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NPI Code Detail

MEDICARE: KRYSTAL GULBRANSEN PHARMD

MEDICARE: KRYSTAL GULBRANSEN 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
1183500000XPharmacist43702TN
2183500000XPharmacist0202215038VA

General Provider Information

NPI Number : 1841643848
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTAL GULBRANSEN PHARMD
Provider Business Mailing Address
First Line : 735 HARDING PL
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-4357
Country : US
Telephone Number : 615-781-1282
Fax Number :
Provider Business Practice Location Address
First Line : 426 21ST AVE S
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2424
Country : US
Telephone Number : 615-321-2590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2016
Last Update Date : 11/28/2020

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Directions to “ KRYSTAL GULBRANSEN PHARMD” Practice Location

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