Provider Demographics
NPI:1831700764
Name:EGGER, JOHN BENNETT (PHARMD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:BENNETT
Last Name:EGGER
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 1:4920 STILLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-1214
Mailing Address - Country:US
Mailing Address - Phone:615-339-4215
Mailing Address - Fax:
Practice Address - Street 1:300 STONECREST BLVD STE 130
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-5689
Practice Address - Country:US
Practice Address - Phone:615-459-5335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42484183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist