Individual
DONALD WILLIAM DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2130 W POPLAR AVE STE 104, COLLIERVILLE, TN 38017-0615
(901) 542-8001
(901) 542-8002
Mailing address
620 DUNLOP LN STE 110, CLARKSVILLE, TN 37040-6072
(931) 278-6422
(931) 278-6423
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
022092
KY
183500000X
Pharmacist
13919
AL
183500000X
Pharmacist
Primary
41623
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022092
STATE PHARMACY LICENSE #
KY
01
—
13919
STATE PHARMACY LICENSE #
AL
01
—
41623
STATE PHARMACY LICENSE #
TN
Enumeration date
07/14/2005
Last updated
12/20/2024
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