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NPI Code Detail

MEDICARE: KATHERINE SPEER PHARMD

MEDICARE: KATHERINE SPEER PHARMD
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
1183500000XPharmacist022262KY
2183500000XPharmacist45341TN

General Provider Information

NPI Number : 1346915543
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE SPEER PHARMD
Provider Business Mailing Address
First Line : 1068 CRESTHAVEN RD STE 300
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-0809
Country : US
Telephone Number : 901-683-0023
Fax Number :
Provider Business Practice Location Address
First Line : 1068 CRESTHAVEN RD STE 300
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-0809
Country : US
Telephone Number : 901-683-0024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2021
Last Update Date : 12/09/2022

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