MEDICARE: VICKIE PALMER

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	183500000X	Pharmacist	5717	TN

General Provider Information

NPI Number	:	1306860135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKIE PALMER

Provider Business Mailing Address
First Line	:	7110 HICKEY RD
Second Line	:
City	:	SILVER POINT
State	:	TN
Zip	:	38582-6233
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7110 HICKEY RD
Second Line	:
City	:	SILVER POINT
State	:	TN
Zip	:	38582-6233
Country	:	US
Telephone Number	:	931-261-9750
Fax Number	:	--

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	01/17/2018

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Directions to “ VICKIE PALMER ” Practice Location

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