Provider Demographics
NPI:1902425283
Name:GOLSTON, DENISHA N (PHARMD)
Entity Type:Individual
Prefix:
First Name:DENISHA
Middle Name:N
Last Name:GOLSTON
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 1:180 WALLACE RD APT T6
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4634
Mailing Address - Country:US
Mailing Address - Phone:219-314-1100
Mailing Address - Fax:
Practice Address - Street 1:1900 BELMONT BLVD APT T6
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3758
Practice Address - Country:US
Practice Address - Phone:219-314-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician