Individual
ASHLEY BROADWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
828 ROYAL PKWY STE 101, NASHVILLE, TN 37214-3758
(615) 889-7664
Mailing address
1100 3RD AVE N APT 301, NASHVILLE, TN 37208-3179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41427
TN
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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