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NPI Code Detail

MEDICARE: CARYN LEIGH CULVER PHARMD

MEDICARE: CARYN LEIGH CULVER 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
1183500000XPharmacist12129TN

General Provider Information

NPI Number : 1790097756
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARYN LEIGH CULVER PHARMD
Provider Business Mailing Address
First Line : 4039 DAYTON BLVD
Second Line :
City : RED BANK
State : TN
Zip : 37415-7124
Country : US
Telephone Number : 423-870-0859
Fax Number : 423-870-8724
Provider Business Practice Location Address
First Line : 4039 DAYTON BLVD
Second Line :
City : RED BANK
State : TN
Zip : 37415-7124
Country : US
Telephone Number : 423-870-0859
Fax Number : 423-870-8724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2010
Last Update Date : 07/07/2010

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Directions to “ CARYN LEIGH CULVER PHARMD” Practice Location

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