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NPI Code Detail

MEDICARE: MS. TAMMY R CAMPBELL

MEDICARE: MS. TAMMY R CAMPBELL
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
1183500000XPharmacist0202009699VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14805822OTHERVANABP

General Provider Information

NPI Number : 1659373090
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAMMY R CAMPBELL
Provider Business Mailing Address
First Line : 197 FERGUSON RD
Second Line :
City : RINGGOLD
State : VA
Zip : 24586-3251
Country : US
Telephone Number : 434-793-5711
Fax Number : 434-792-2516
Provider Business Practice Location Address
First Line : 155 S MAIN ST
Second Line :
City : DANVILLE
State : VA
Zip : 24541-2921
Country : US
Telephone Number : 434-792-0726
Fax Number : 434-792-2516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/09/2007

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Directions to “ MS. TAMMY R CAMPBELL ” Practice Location

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