Individual
AMER AMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2615 8TH AVE S, NASHVILLE, TN 37204-2483
(615) 298-4806
Mailing address
1024 WELLMOOR CT, NASHVILLE, TN 37209-5026
(615) 710-0175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44775
TN
Other
Enumeration date
10/17/2022
Last updated
06/06/2026
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