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NPI Code Detail

MEDICARE: DAVID EUGENE FENNER PHARMACIST

MEDICARE: DAVID EUGENE FENNER PHARMACIST
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
1183500000XPharmacist7573NE

General Provider Information

NPI Number : 1386802171
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID EUGENE FENNER PHARMACIST
Provider Business Mailing Address
First Line : 5171 SAM JARED DR BLDG 112
Second Line :
City : MURFREESBORO
State : TN
Zip : 37130-1382
Country : US
Telephone Number : 615-904-9727
Fax Number : 615-904-9728
Provider Business Practice Location Address
First Line : 5171 SAM JARED DR BLDG 112
Second Line :
City : MURFREESBORO
State : TN
Zip : 37130-1382
Country : US
Telephone Number : 615-904-9727
Fax Number : 615-904-9728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2008
Last Update Date : 02/08/2026

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Directions to “ DAVID EUGENE FENNER PHARMACIST” Practice Location

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