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NPI Code Detail

MEDICARE: GRACE CAMPBELL

MEDICARE: GRACE CAMPBELL
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
1183500000XPharmacist38504TN

General Provider Information

NPI Number : 1477040137
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE CAMPBELL
Provider Business Mailing Address
First Line : 140 JOE B JACKSON PKWY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37127-7228
Country : US
Telephone Number : 615-907-8999
Fax Number :
Provider Business Practice Location Address
First Line : 140 JOE B JACKSON PKWY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37127-7228
Country : US
Telephone Number : 615-907-8999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2018
Last Update Date : 04/18/2018

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Directions to “ GRACE CAMPBELL ” Practice Location

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