Terry L Roller is a Pharmacist in Erwin, Tennessee. Terry L Roller practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Terry L Roller is 1619089984. The last update date is 2007-07-09.
Terry L Roller's current location address is 109 N Main Ave, Erwin, Tennessee. You can contact this provider via phone number 4237437105 and fax number 4237437167. The mailing address for Terry L Roller is 109 N Main Ave, Erwin, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry L Roller |
|---|---|
| Address | 109 N Main Ave, Erwin, Tennessee |
| Phone Number | 4237437105 |
| Fax Number | 4237437167 |
| Sole Proprietor | N |
| Credentials | D.PH. |
NPI Number Detail
| NPI Number | 1619089984 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 109 N Main Ave |
|---|---|
| City | Erwin |
| State | Tennessee (TN) |
| Post Code | 376501255 |
| Phone Number | 4237437105 |
| Fax Number | 4237437167 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 1406 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3514702 | TN | -- |
Post Comment/ Review Below
What is the Terry L Roller's unique identification number?
The Terry L Roller has been assigned the NPI (National Provider Identifier) Number 1619089984 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 address where Terry L Roller is physically located?
The Terry L Roller is situated at the following address: 109 N Main Ave, Erwin, TN 376501255.
What is the Terry L Roller's specialty and taxonomy code?
The Terry L Roller's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619089984 to Terry L Roller?
The Centers for Medicare & Medicaid Services originally issued the 1619089984 to Terry L Roller on 2006-08-31.
When was the information related to Terry L Roller most recently updated or refreshed?
The details pertaining to the Terry L Roller, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
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