Organization
INCEPTION RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN R. HARTMAN PHARMD (OWNER)
(615) 371-1210
Entity
Organization
Contact information
Practice address
343 FRANKLIN ROAD SUITE 200, BRENTWOOD, TN 37027-4637
(629) 203-6022
(615) 376-4707
Mailing address
PO BOX 1007, BRENTWOOD, TN 37024-1007
(629) 203-6022
(615) 376-4707
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5701
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q033257
—
TN
Enumeration date
11/30/2015
Last updated
08/14/2019
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