Provider Demographics
NPI:1487535787
Name:BTH LLC
Entity type:Organization
Organization Name:BTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ENOCH
Authorized Official - Middle Name:ELLERSON
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:615-454-2990
Mailing Address - Street 1:343 FRANKLIN RD STE 206
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5250
Mailing Address - Country:US
Mailing Address - Phone:615-454-2990
Mailing Address - Fax:615-503-8423
Practice Address - Street 1:343 FRANKLIN RD STE 206
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5250
Practice Address - Country:US
Practice Address - Phone:615-454-2990
Practice Address - Fax:615-503-8423
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy