Larry Michael Proffitt in Elizabethton - Pharmacist
Larry Michael Proffitt - NPI 1417048760
Larry Michael Proffitt is a Pharmacist in Elizabethton, Tennessee. Larry Michael Proffitt practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Larry Michael Proffitt is 1417048760. The last update date is 2015-08-31.
Larry Michael Proffitt's current location address is 1000 West G St, Elizabethton, Tennessee. You can contact this provider via phone number 4235424622 and fax number 4235422564. The mailing address for Larry Michael Proffitt is 1000 West G St, Elizabethton, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Michael Proffitt |
|---|---|
| Address | 1000 West G St, Elizabethton, Tennessee |
| Phone Number | 4235424622 |
| Fax Number | 4235422564 |
| Sole Proprietor | Y |
| Credentials | DPH |
NPI Number Detail
| NPI Number | 1417048760 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2015-08-31 |
Provider Mailing Address Detail
| Address | 1000 West G St |
|---|---|
| City | Elizabethton |
| State | Tennessee (TN) |
| Post Code | 37643 |
| Phone Number | 4235424622 |
| Fax Number | 4235422564 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 3208 |
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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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Post Comment/ Review Below
What is the Larry Michael Proffitt's unique identification number?
The Larry Michael Proffitt has been assigned the NPI (National Provider Identifier) Number 1417048760 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Larry Michael Proffitt is located?
The Larry Michael Proffitt is situated at the following address: 1000 West G St, Elizabethton, TN, 37643.
What is Larry Michael Proffitt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry Michael Proffitt's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date was the 1417048760 assigned to Larry Michael Proffitt?
The Larry Michael Proffitt was issued its 1417048760 on 2006-09-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Larry Michael Proffitt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry Michael Proffitt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-08-31.