Bridgestone Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Antioch, TN
NPI 1003354614 · NPPES record last updated Apr 26, 2018
Key facts
- NPI
- 1003354614
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0000005944 (TN)
- Legal business name
- BRIDGESTONE PHARMACY LLC
- Practice address
- 825 Hamilton Crossings
Antioch, TN 37013 - Phone
- (615) 930-1553
- Fax
- (615) 250-4918
- NPI assigned
- Feb 2, 2017
- Organization subpart
- No
Authorized official
- Name
- Brandon Sintz
- Title
- Pic/Managing Member
- Phone
- (615) 930-1553
National Provider Directory
Locations
825 Hamilton Xing
Antioch, TN 37013
Phone (615) 930-1553
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0000005944 | TN | Yes |
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
825 Hamilton Crossings
Antioch, TN 37013
Mailing address
825 Hamilton Crossings
Antioch, TN 37013
Phone (615) 930-1553
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2168470 | Other | PK |
Other providers in Antioch, TN
- Bradley Blake Bower
- Stacia Bowman
- Emily Bown
- Jina Boze
- Daja Brent
- Brite Smilez Cosmetic & Family Dentistry
- Donna Gail Britton
- Andrew Brothers
- Coran Brown
- Markia Brown
All providers in Antioch, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.