Provider Demographics
NPI:1528576733
Name:SMYTH, UYEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:UYEN
Middle Name:
Last Name:SMYTH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 BEECH HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-8635
Mailing Address - Country:US
Mailing Address - Phone:901-486-7014
Mailing Address - Fax:
Practice Address - Street 1:1217 BEECH HOLLOW DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-8635
Practice Address - Country:US
Practice Address - Phone:901-486-7014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist