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NPI Code Detail

MEDICARE: DR. THOMAS DERRELL BEARD JR. PHARM.D.

MEDICARE:  DR. THOMAS DERRELL BEARD JR. PHARM.D.
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
1183500000XPharmacist12995TN

General Provider Information

NPI Number : 1740335371
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS DERRELL BEARD JR. PHARM.D.
Provider Business Mailing Address
First Line : 635 EADS BLUFF RD NW
Second Line :
City : GEORGETOWN
State : TN
Zip : 37336-4940
Country : US
Telephone Number : 423-336-9777
Fax Number :
Provider Business Practice Location Address
First Line : 4632 HIGHWAY 58
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37416-3013
Country : US
Telephone Number : 423-894-3222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS DERRELL BEARD JR. PHARM.D.” Practice Location

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