Provider Demographics
NPI:1578373965
Name:KANAKRIEH, SELWA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SELWA
Middle Name:
Last Name:KANAKRIEH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2715 CONGRESS DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-4521
Mailing Address - Country:US
Mailing Address - Phone:615-916-0884
Mailing Address - Fax:
Practice Address - Street 1:145 SE PARKWAY STE 170
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3962
Practice Address - Country:US
Practice Address - Phone:615-591-1101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48451183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist