Organization
BRIDGESTONE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON SINTZ (PIC/MANAGING MEMBER)
(615) 930-1553
Entity
Organization
Contact information
Practice address
825 HAMILTON CROSSINGS, ANTIOCH, TN 37013
(615) 930-1553
(615) 250-4918
Mailing address
825 HAMILTON CROSSINGS, ANTIOCH, TN 37013
(615) 930-1553
(615) 250-4918
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000005944
TN
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168470
PK
—
Enumeration date
02/02/2017
Last updated
04/26/2018
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