MEDICARE: MR. JAMES CLIFTON GRIFFIN RPH

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
1	183500000X	Pharmacist	0000010361	TN

General Provider Information

NPI Number	:	1215225206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES CLIFTON GRIFFIN RPH

Provider Business Mailing Address
First Line	:	8897 HIWASSEE ST NW
Second Line	:
City	:	CHARLESTON
State	:	TN
Zip	:	37310-5367
Country	:	US
Telephone Number	:	423-336-5522
Fax Number	:	423-336-5501

Provider Business Practice Location Address
First Line	:	8897 HIWASSEE ST NW
Second Line	:
City	:	CHARLESTON
State	:	TN
Zip	:	37310-5367
Country	:	US
Telephone Number	:	423-336-5522
Fax Number	:	423-336-5501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2011
Last Update Date	:	07/12/2011

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