MEDICARE: MRS. PEGGY ANNE LITTMANN RPH

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
1	1835P1200X	Pharmacotherapy Pharmacist	0000008104	TN

General Provider Information

NPI Number	:	1164685442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PEGGY ANNE LITTMANN RPH

Provider Business Mailing Address
First Line	:	6911 HAVERHILL DRIVE
Second Line	:	PEGGY LITTMANN
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-2614
Country	:	US
Telephone Number	:	865-588-6661
Fax Number	:

Provider Business Practice Location Address
First Line	:	6911 HAVERHILL DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-2614
Country	:	US
Telephone Number	:	865-588-6661
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	07/07/2008

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