IndividualActive
Russell Cabanaw, PHARMD, BCACP
NPI 1205547734 · Ambulatory Care Pharmacist · Jackson, TN
Provider details
- NPI number
- 1205547734
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD, BCACP
- Sex
- Male
- Sole proprietor
- No
- License
- 29374 (TN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 541-8030
Approximate (ZIP-level) locationGet directions
Mailing address
620 Skyline Dr
Jackson, TN 38301-3923
Registry dates
- Enumerated
- 2022-12-06
- Last updated
- 2022-12-06
- Certified
- 2022-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.