Teresa Lynn Lett, R.PH., RRT
Individual provider Active NPI Pharmacist · Eclectic, AL
NPI 1871739904 · NPPES record last updated Dec 19, 2008
Key facts
- NPI
- 1871739904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11769 (AL)
- Practice address
- 575 Claud Road
Suite 2000
Eclectic, AL 36024 - Phone
- (334) 541-2522
- Fax
- (334) 541-4436
- NPI assigned
- Dec 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11769 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eclectic Family Pharmacy, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11769 | AL | Yes |
Addresses
Primary practice location
575 Claud Road
Suite 2000
Eclectic, AL 36024
Mailing address
PO Box 240519
575 Claude Road, #2000
Eclectic, AL 36024-0020
Phone (334) 541-4433
Other providers in Eclectic, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2008. 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.