Provider Demographics
NPI:1568295152
Name:AGYEMANG, JOEL JOE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:JOE
Last Name:AGYEMANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 LAWSONS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37218-2535
Mailing Address - Country:US
Mailing Address - Phone:615-686-1720
Mailing Address - Fax:
Practice Address - Street 1:3010 W END AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1318
Practice Address - Country:US
Practice Address - Phone:615-269-9881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist