Healthcare Provider Details

I. General information

NPI: 1710194741
Provider Name (Legal Business Name): GAIL E GARNER RPD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8456 HIGHWAY 111
BYRDSTOWN TN
38549-6001
US

IV. Provider business mailing address

159 RAINBOW DR # 5947
LIVINGSTON TX
77399-0001
US

V. Phone/Fax

Practice location:
  • Phone: 931-864-3136
  • Fax:
Mailing address:
  • Phone: 931-337-9384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11547
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23814
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number22407
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: