Provider Demographics
NPI:1568806552
Name:BATCHELOR, JASON T (PHARM D)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:T
Last Name:BATCHELOR
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 WELDON DR
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:TN
Mailing Address - Zip Code:38237-1320
Mailing Address - Country:US
Mailing Address - Phone:731-587-3819
Mailing Address - Fax:731-588-0839
Practice Address - Street 1:134 COURTRIGHT RD
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:TN
Practice Address - Zip Code:38237-1606
Practice Address - Country:US
Practice Address - Phone:731-587-3819
Practice Address - Fax:731-588-0839
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8793183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist