Individual
MS. BRITTANI BRIANA NICOLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 BELMONT BLVD, NASHVILLE, TN 37212-3758
(915) 471-4614
Mailing address
211 BOXMERE PL, NASHVILLE, TN 37215-6101
(915) 471-4614
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
35088
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35088
PHARMACY INTERN LICENSE
TX
Enumeration date
01/10/2018
Last updated
03/17/2018
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