Provider Demographics
NPI:1114535945
Name:NASH, MADISON HARDIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MADISON
Middle Name:HARDIN
Last Name:NASH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MADISON
Other - Middle Name:PAIGE
Other - Last Name:HARDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1124 BLANTON DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-5049
Mailing Address - Country:US
Mailing Address - Phone:606-356-3466
Mailing Address - Fax:
Practice Address - Street 1:1124 BLANTON DR STE 100
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-5049
Practice Address - Country:US
Practice Address - Phone:606-356-3466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-17
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44142183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist