Provider Demographics
NPI:1477023125
Name:BHAKTA, TEJASH (RPH)
Entity Type:Individual
Prefix:
First Name:TEJASH
Middle Name:
Last Name:BHAKTA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 HUDSON LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8603
Mailing Address - Country:US
Mailing Address - Phone:615-764-6511
Mailing Address - Fax:
Practice Address - Street 1:1550 W MCEWEN DR STE 501
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1769
Practice Address - Country:US
Practice Address - Phone:615-764-6511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41740183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist