Richard L Talley, PHARMACIST
Individual provider Active NPI Pharmacist · Munford, TN
NPI 1730493602 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1730493602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3628 (TN)
- Practice address
- 44 Tabb Dr
Munford, TN 38058 - Phone
- (901) 840-2450
- NPI assigned
- Aug 3, 2010
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3628 | TN | Yes |
Addresses
Primary practice location
44 Tabb Dr
Munford, TN 38058
Mailing address
440 N Gretna Green Dr
Munford, TN 38058-2609
Phone (901) 837-8228
Other providers in Munford, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2010. 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.