Provider Demographics
NPI:1427737279
Name:DIX, DANA (PHARMD, MBA)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:DIX
Suffix:
Gender:F
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 FORTRESS BLVD APT 216
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-5240
Mailing Address - Country:US
Mailing Address - Phone:662-710-0953
Mailing Address - Fax:
Practice Address - Street 1:1300 TROTWOOD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4701
Practice Address - Country:US
Practice Address - Phone:931-388-3294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist