Provider Demographics
NPI:1639497373
Name:BRYANT, BRETT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:
Last Name:BRYANT
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 1:305 SEABOARD LN
Mailing Address - Street 2:SUITE 318
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8287
Mailing Address - Country:US
Mailing Address - Phone:615-771-8790
Mailing Address - Fax:615-771-1829
Practice Address - Street 1:305 SEABOARD LN
Practice Address - Street 2:SUITE 318
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8287
Practice Address - Country:US
Practice Address - Phone:615-771-8790
Practice Address - Fax:615-771-1829
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7445183500000X
MOPH042052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist