Provider Demographics
NPI:1932484789
Name:CARTER, BRETT P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:P
Last Name:CARTER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:BRETT
Other - Middle Name:P
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7425 TAZEWELL PIKE
Mailing Address - Street 2:
Mailing Address - City:CORRYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37721-3532
Mailing Address - Country:US
Mailing Address - Phone:865-232-1811
Mailing Address - Fax:
Practice Address - Street 1:7425 TAZEWELL PIKE
Practice Address - Street 2:
Practice Address - City:CORRYTON
Practice Address - State:TN
Practice Address - Zip Code:37721-3532
Practice Address - Country:US
Practice Address - Phone:865-232-1811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9230183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist