Healthcare Provider Details

I. General information

NPI: 1881928505
Provider Name (Legal Business Name): ALISON GRIFFITH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2009
Last Update Date: 09/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 BARTLETT CIR NE
CLEVELAND TN
37312-4734
US

IV. Provider business mailing address

170 BARTLETT CIR NE
CLEVELAND TN
37312-4734
US

V. Phone/Fax

Practice location:
  • Phone: 423-744-0282
  • Fax: 423-744-1312
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12058
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: