Nikita Kabanov
Pharmacist in Nashville, TN. Individual provider (NPI-1).
NPI number1265249072
StatusActive
Last updated in NPPESDec 16, 2024
Details
- NPI
- 1265249072
- Entity type
- Individual (NPI-1)
- Name
- Nikita Kabanov
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2024
- Certification date
- Dec 15, 2024
- Last updated
- Dec 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 48306 | TN | Yes |
Practice location
426 21st Ave SNashville, TN 37203-2424
Phone 615-321-2590
Mailing address
426 21st Ave SNashville, TN 37203-2424
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