Provider Demographics
NPI:1184994618
Name:DUNKLAU, HENRY JAMES IV (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:JAMES
Last Name:DUNKLAU
Suffix:IV
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7123 COCKRILL BEND BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1005
Mailing Address - Country:US
Mailing Address - Phone:615-320-8410
Mailing Address - Fax:615-284-3573
Practice Address - Street 1:300 20TH AVE N
Practice Address - Street 2:SUITE 105
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2131
Practice Address - Country:US
Practice Address - Phone:615-320-8410
Practice Address - Fax:615-284-3573
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-30
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29209183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist