Individual
BETHANY CHANTHARATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10638 CONCORD RD, BRENTWOOD, TN 37027-8875
(615) 941-8879
Mailing address
10638 CONCORD RD, BRENTWOOD, TN 37027-8875
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45269
TN
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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