Dehart, Donald William

Dehart, Donald William is an individual health care provider with primary practice located at 620 Dunlop Ln Ste 110 , Clarksville TN 37040-6072. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dehart, Donald William can be contacted via phone (931) 278-6422.

Contact Information

Primary practice address
620 Dunlop Ln Ste 110 Clarksville TN 37040-6072
Fax: (931) 278-6423
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13919 Alabama

Profile Details

NPI number 1437158250
LBN Legal business name Dehart, Donald William
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated May 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437158250 NPPES
Kentucky Other 022092 STATE PHARMACY LICENSE #
Kentucky Other 41623 STATE PHARMACY LICENSE #
Kentucky Other 13919 STATE PHARMACY LICENSE #

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