Provider Demographics
NPI:1497263875
Name:HARDWICK, JEFFREY A (PHARMD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:HARDWICK
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 1:3458 DICKERSON PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2511
Mailing Address - Country:US
Mailing Address - Phone:615-873-2666
Mailing Address - Fax:
Practice Address - Street 1:3458 DICKERSON PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2511
Practice Address - Country:US
Practice Address - Phone:615-873-2666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46673183500000X
TN40855183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist