Provider Demographics
NPI:1326760638
Name:MUSIC CITY PHARMACY & COMPOUNDING, LLC
Entity Type:Organization
Organization Name:MUSIC CITY PHARMACY & COMPOUNDING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAROD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:JUILLERAT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:615-750-2707
Mailing Address - Street 1:1900 PATTERSON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2167
Mailing Address - Country:US
Mailing Address - Phone:205-821-3521
Mailing Address - Fax:
Practice Address - Street 1:1900 PATTERSON ST STE 200
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2167
Practice Address - Country:US
Practice Address - Phone:205-821-3521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy