Provider Demographics
NPI:1215909346
Name:ARGO, VANCE JAY (DPH)
Entity type:Individual
Prefix:
First Name:VANCE
Middle Name:JAY
Last Name:ARGO
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 WESTHAVEN BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-4896
Mailing Address - Country:US
Mailing Address - Phone:731-514-1600
Mailing Address - Fax:
Practice Address - Street 1:1015 WESTHAVEN BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-4896
Practice Address - Country:US
Practice Address - Phone:731-514-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6304183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist