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NPI Code Detail

MEDICARE: DR. CLAYTON BEAUMAN DICK PHARM.D.

MEDICARE: DR. CLAYTON BEAUMAN DICK PHARM.D.
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
1183500000XPharmacist14780AL
2183500000XPharmacistRPH022081GA
3183500000XPharmacist27477TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14241768OTHERTNBLUE CROSS / BLUE SHIELD OF TENNESSEE

General Provider Information

NPI Number : 1851398788
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLAYTON BEAUMAN DICK PHARM.D.
Provider Business Mailing Address
First Line : 1412 COUNTY HOSPITAL RD
Second Line :
City : NASHVILLE
State : TN
Zip : 37218-3007
Country : US
Telephone Number : 615-687-2568
Fax Number :
Provider Business Practice Location Address
First Line : 1412 COUNTY HOSPITAL RD
Second Line :
City : NASHVILLE
State : TN
Zip : 37218-3007
Country : US
Telephone Number : 615-687-2568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 11/10/2016

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