Provider Demographics
NPI:1003115239
Name:CHICK, KATHERINE NICKS (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:NICKS
Last Name:CHICK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 COLD STREAM CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-4664
Mailing Address - Country:US
Mailing Address - Phone:615-662-1333
Mailing Address - Fax:615-662-1335
Practice Address - Street 1:7087 HIGHWAY 70 S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-2269
Practice Address - Country:US
Practice Address - Phone:615-662-1333
Practice Address - Fax:615-662-1335
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23941183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist