Provider Demographics
NPI:1184970360
Name:ALBONETTI, TIMOTHY A (PHARMD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:A
Last Name:ALBONETTI
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 1:7332 NOLENSVILLE RD STE 301
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-0747
Mailing Address - Country:US
Mailing Address - Phone:615-283-8035
Mailing Address - Fax:615-283-8718
Practice Address - Street 1:7332 NOLENSVILLE RD STE 301
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-0747
Practice Address - Country:US
Practice Address - Phone:615-668-2822
Practice Address - Fax:615-283-8718
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist