Jimmy David Damron in Fayetteville - Pharmacist

Jimmy David Damron - NPI 1811021074

Jimmy David Damron is a Pharmacist in Fayetteville, Tennessee. Jimmy David Damron practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jimmy David Damron is 1811021074. The last update date is 2007-07-08.

Jimmy David Damron's current location address is 106 Elk Ave S, Fayetteville, Tennessee. You can contact this provider via phone number 9314331511 and fax number 9314336854. The mailing address for Jimmy David Damron is 106 Elk Ave S, Fayetteville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jimmy David Damron
Address 106 Elk Ave S, Fayetteville, Tennessee
Phone Number 9314331511
Fax Number 9314336854
Sole Proprietor N
Credentials D.PH.

NPI Number Detail

NPI Number 1811021074
Provider Enumeration Date 2007-03-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 106 Elk Ave S
City Fayetteville
State Tennessee (TN)
Post Code 373343050
Phone Number 9314331511
Fax Number 9314336854

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 5423
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

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FAQs about Jimmy David Damron

What is the unique identifier code issued to Jimmy David Damron by the Centers for Medicare & Medicaid Services (CMS)?

The Jimmy David Damron has been assigned the NPI (National Provider Identifier) 1811021074. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Jimmy David Damron is located?

The Jimmy David Damron is situated at the following address: 106 Elk Ave S, Fayetteville, TN, 373343050.

What is Jimmy David Damron's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jimmy David Damron's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1811021074 to Jimmy David Damron?

The Centers for Medicare & Medicaid Services assigned the 1811021074 to Jimmy David Damron on 2007-03-16.

When was the information related to Jimmy David Damron most recently updated or refreshed?

The details pertaining to the Jimmy David Damron, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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