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NPI Code Detail

MEDICARE: TAMMIE S POWERS

MEDICARE: TAMMIE S POWERS
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
1183500000XPharmacist08780NC

General Provider Information

NPI Number : 1629599709
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMIE S POWERS
Provider Business Mailing Address
First Line : 5302 GRACE WILLIAMS RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27410-9071
Country : US
Telephone Number : 336-240-5708
Fax Number :
Provider Business Practice Location Address
First Line : 1615 SPRING GARDEN ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-2334
Country : US
Telephone Number : 336-379-1649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2017
Last Update Date : 06/29/2017

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Directions to “ TAMMIE S POWERS ” Practice Location

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