Healthcare Provider Details

I. General information

NPI: 1427060227
Provider Name (Legal Business Name): BILL H HESTER D.PH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E MAIN ST
RUTHERFORD TN
38369-9711
US

IV. Provider business mailing address

PO BOX 279
RUTHERFORD TN
38369-0279
US

V. Phone/Fax

Practice location:
  • Phone: 731-665-6176
  • Fax: 731-665-6786
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1952
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: