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NPI Code Detail

MEDICARE: JOHN SIDNEY OSMENT DPH

MEDICARE: JOHN SIDNEY OSMENT DPH
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
1183500000XPharmacist10697TN

General Provider Information

NPI Number : 1184213787
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN SIDNEY OSMENT DPH
Provider Business Mailing Address
First Line : 1971 TENNESSEE AVE N
Second Line :
City : PARSONS
State : TN
Zip : 38363-5049
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1971 TENNESSEE AVE N
Second Line :
City : PARSONS
State : TN
Zip : 38363-5049
Country : US
Telephone Number : 731-847-4013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2021
Last Update Date : 01/18/2021

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Directions to “ JOHN SIDNEY OSMENT DPH” Practice Location

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