Lanny R Hudson, D PH
Individual provider Active NPI Pharmacist · Red Boiling Springs, TN
NPI 1669533345 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669533345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- C3824 (TN)
- Practice address
- 126 Market Street
Red Boiling Springs, TN 37150 - Phone
- (615) 699-2509
- Fax
- (615) 699-4139
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3824 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Prescription Shop Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | C3824 | TN | Yes |
Addresses
Primary practice location
126 Market Street
Red Boiling Springs, TN 37150
Mailing address
PO Box 183
Red Boiling Springs, TN 37150-0183
Phone (615) 699-2509
Other providers in Red Boiling Springs, TN
- Frank T Rutherford Memorial Hospital, Inc
- Jennifer Renae Guffey
- Clifton Lee Hackett
- Jessica Faylene McGee Hagan
- Benita Gail Hudson
- Longevity Clinical LTC Associates of Tennessee, PLLC
- Macon Care Center LLC
- Martin Family Healthcare LLC.
- Eric Justin McGriff
- Amanda Lynn Mitchell
All providers in Red Boiling Springs, TN · Pharmacist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.