Tamara Karaba Davis, RPH

Individual provider Active NPI Pharmacist · East Ridge, TN

NPI 1013041920 · NPPES record last updated Aug 14, 2007

Key facts

NPI
1013041920
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
3863 (TN)
Practice address
4350 Ringgold Rd
East Ridge, TN 37412-2712
Phone
(423) 867-1978
Fax
(423) 867-7658
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
3863TNMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3863 TN Yes

Addresses

Primary practice location

4350 Ringgold Rd
East Ridge, TN 37412-2712

Mailing address

7410 Twin Brook Dr
Chattanooga, TN 37421-1824

Other providers in East Ridge, TN

All providers in East Ridge, TN · Pharmacist in Tennessee

Sources for this page

Verify at the official NPI Registry.