What is Bounchanh Souriyavong's NPI number?

The NPI number assigned to this healthcare provider is 1073868196, enumerated as a individual on July 14, 2012.

Where is the provider located?

The provider is located at 1211 MEDICAL CENTER DR NASHVILLE, TN 37232 and the phone number is (615) 343-0608.

What is the provider's specialty?

The provider's specialty is Pharmacist with taxonomy code 183500000X.

BOUNCHANH SOURIYAVONG PHARMD - NPI 1073868196

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About Bounchanh Souriyavong Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOUNCHANH SOURIYAVONG PHARMD (NPI 1073868196) is an individual pharmacist in Nashville, Tennessee, licensed in Tennessee (36827) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1073868196

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameBOUNCHANH SOURIYAVONGCredential: PHARMD

Location Address1211 MEDICAL CENTER DRNashville, TN 37232-0004

Mailing Address2804 Brightwood AveNashville, TN 37212-5821 · (615) 585-6642

Phone(615) 343-0608

Sole ProprietorNo

Enumeration DateJuly 14, 2012

✔ NPI 1073868196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in TN · 36827

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

1211 MEDICAL CENTER DR, Nashville, TN 37232

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