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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRANTLEY MICHAEL UNDERWOOD, PHARMD, CSP, BCACP

Active

Ambulatory Care Pharmacist · SPARTA, TN

Registration Details

NPI Number
1083840425
Provider Type
Individual
Gender
Male
NPI Issued
May 29, 2009 (16.898681116412 yrs)
Last Updated
May 23, 2025
Licenses
PD13265 (AR)
R-16138 (OK)
117751 (AK)
PH60661034 (WA)
44702 (TN)

Practice Information

Address
483 W BOCKMAN WAY
SPARTA, TN, 385831832
Browse TN providers · Browse ZIP 38583
Phone
9318363230
Fax
9318363241
Primary Specialty
Ambulatory Care Pharmacist
1835P2201X
Additional Specialty
Ambulatory Care Pharmacist
Additional Specialty
Ambulatory Care Pharmacist
Additional Specialty
Ambulatory Care Pharmacist
Additional Specialty
Ambulatory Care Pharmacist

Other Ambulatory Care Pharmacist Providers in SPARTA, TN

Name Credential NPI
JESSICA BROOKE BOULDIN PHARMD 1881284206
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.