Provider Demographics
NPI:1467646315
Name:NASH, ERICK L (PHARMD,)
Entity Type:Individual
Prefix:MR
First Name:ERICK
Middle Name:L
Last Name:NASH
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 1:517 RAFE CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-4256
Mailing Address - Country:US
Mailing Address - Phone:615-794-4094
Mailing Address - Fax:615-794-4426
Practice Address - Street 1:517 RAFE CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-4256
Practice Address - Country:US
Practice Address - Phone:615-794-4094
Practice Address - Fax:615-794-4426
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10578183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN10578OtherTENNESSEE LICENSE NUMBER