Paul David Dacus, PHARM D
Individual provider Active NPI Pharmacist · Sweetwater, TN
NPI 1346526415 · NPPES record last updated Nov 2, 2011
Key facts
- NPI
- 1346526415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0000034432 (TN)
- Practice address
- 802 College St
Sweetwater, TN 37874-2611 - Phone
- (423) 836-1815
- NPI assigned
- Nov 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000034432 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0000034432 | TN | Yes |
Addresses
Primary practice location
802 College St
Sweetwater, TN 37874-2611
Mailing address
802 College St
Sweetwater, TN 37874-2611
Phone (423) 836-1815
Other providers in Sweetwater, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.