Provider Demographics
NPI:1568054617
Name:ACA PHARMACY, LLC
Entity Type:Organization
Organization Name:ACA PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF OPERATING OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANTLEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WESCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:615-301-5953
Mailing Address - Street 1:525 METROPLEX DR STE 210
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3140
Mailing Address - Country:US
Mailing Address - Phone:615-301-5953
Mailing Address - Fax:615-467-5558
Practice Address - Street 1:525 METROPLEX DR STE 210
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3140
Practice Address - Country:US
Practice Address - Phone:615-301-5953
Practice Address - Fax:615-467-5558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-10
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy