Provider Demographics
NPI:1720293400
Name:MYATT, BENJAMIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:
Last Name:MYATT
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 BEDFORD WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-5527
Mailing Address - Country:US
Mailing Address - Phone:615-832-7232
Mailing Address - Fax:615-331-6673
Practice Address - Street 1:233 BEDFORD WAY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-5527
Practice Address - Country:US
Practice Address - Phone:615-832-7232
Practice Address - Fax:615-331-6673
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA020062183500000X
TN355751835C0207X, 183500000X
AL15667183500000X
VA0202211331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835C0207XPharmacy Service ProvidersPharmacistCompounded Sterile Preparations