David Ketchum is a Pharmacotherapy in Dyersburg, Tennessee. David Ketchum practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for David Ketchum is 1265602544. The last update date is 2013-02-22.
David Ketchum's current location address is 715 Andrea Dr, Dyersburg, Tennessee. You can contact this provider via phone number 5733591372 and fax number 5733593530. The mailing address for David Ketchum is 715 Andrea Dr, Dyersburg, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Ketchum |
|---|---|
| Address | 715 Andrea Dr, Dyersburg, Tennessee |
| Phone Number | 5733591372 |
| Fax Number | 5733593530 |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1265602544 |
|---|---|
| Provider Enumeration Date | 2008-03-03 |
| Last Updated Date | 2013-02-22 |
Provider Mailing Address Detail
| Address | 715 Andrea Dr |
|---|---|
| City | Dyersburg |
| State | Tennessee (TN) |
| Post Code | 380247195 |
| Phone Number | 5733591372 |
| Fax Number | 5733593530 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacotherapy |
|---|---|
| Taxonomy | 1835P1200X |
| Licence No | 45243 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and cons |
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What is the unique 10-digit identification code assigned to David Ketchum by the Centers for Medicare & Medicaid Services?
The David Ketchum has been issued the NPI (National Provider Identifier) 1265602544, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of David Ketchum?
The David Ketchum is physically situated at 715 Andrea Dr, in the city of Dyersburg, state of TN, with the postal code 380247195.
What is the David Ketchum's area of specialization and corresponding taxonomy classification?
The David Ketchum's specialty field is Pharmacotherapy, and it falls under the taxonomy code 1835P1200X, which categorizes healthcare providers based on their specialties.
When was the David Ketchum's 1265602544 issued?
The David Ketchum's 1265602544 was issued on 2008-03-03.
As of what date were the details pertaining to David Ketchum last refreshed?
The information related to the David Ketchum, including its address, specialty, and other relevant details, was last updated on 2013-02-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC