Provider Demographics
NPI:1093228033
Name:HAMBRICK, LEVI OTTO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LEVI
Middle Name:OTTO
Last Name:HAMBRICK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 TRAEMOOR VILLAGE PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5058
Mailing Address - Country:US
Mailing Address - Phone:615-200-5357
Mailing Address - Fax:
Practice Address - Street 1:2808 SMITH SPRINGS RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-4311
Practice Address - Country:US
Practice Address - Phone:615-361-0182
Practice Address - Fax:615-361-9267
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist