Provider Demographics
NPI:1497533145
Name:IMPRIMISRX NASHVILLE, LLC
Entity Type:Organization
Organization Name:IMPRIMISRX NASHVILLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, MBA
Authorized Official - Phone:407-620-4581
Mailing Address - Street 1:658 GRASSMERE PARK STE 104
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3683
Mailing Address - Country:US
Mailing Address - Phone:844-446-6979
Mailing Address - Fax:
Practice Address - Street 1:658 GRASSMERE PARK STE 104
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3683
Practice Address - Country:US
Practice Address - Phone:844-446-6979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy