Organization
KUSH M
Active
Other names
Harding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PUSHPA PATEL (PRESIDENT)
(615) 760-5670
Entity
Organization
Contact information
Practice address
4120 NOLENSVILLE PIKE, NASHVILLE, TN 37211-4717
(615) 760-5670
Mailing address
4120 NOLENSVILLE PIKE, NASHVILLE, TN 37211-4717
(615) 760-5670
(615) 760-5587
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q045411
—
TN
Enumeration date
10/20/2018
Last updated
03/10/2020
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