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NPI Code Detail

MEDICARE: PHYLLIS THORNTON

MEDICARE: PHYLLIS THORNTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5026TN

General Provider Information

NPI Number : 1033491550
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHYLLIS THORNTON
Provider Business Mailing Address
First Line : 2045 FIELDSTONE PKWY
Second Line :
City : FRANKLIN
State : TN
Zip : 37069-4336
Country : US
Telephone Number : 615-591-5828
Fax Number :
Provider Business Practice Location Address
First Line : 2045 FIELDSTONE PKWY
Second Line :
City : FRANKLIN
State : TN
Zip : 37069-4336
Country : US
Telephone Number : 615-591-5828
Fax Number : 615-327-3942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2011
Last Update Date : 04/05/2023

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Directions to “ PHYLLIS THORNTON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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