Most Relevant Information
Provider Data
| NPI Number: | 1003658022 |
| Provider Name: | KANEISHA GREEN PHARMD, MHCI |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 47490 |
Most Important Dates
| Enumeration Date: | 06/10/2024 |
| Last Updated: | 06/10/2024 |
Provider Practice Location
5301 HARDING PIKE
NASHVILLE
TN
372052805
Practice Location Phone/Fax
| Phone: | 6153540943 |
| Fax: |
Provider Mailing Location
5301 HARDING PIKE
NASHVILLE
TN
372052805
Provider Mailing Phone/Fax
| Phone: | 6153540943 |
| Fax: |