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NPI Code Detail

MEDICARE: DR. TINA BILLINGSLY PHARMD

MEDICARE: DR. TINA BILLINGSLY 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
1183500000XPharmacist26020792AIN

General Provider Information

NPI Number : 1881293678
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TINA BILLINGSLY PHARMD
Provider Business Mailing Address
First Line : 4091 BILLINGSLY RD
Second Line :
City : GREENWOOD
State : IN
Zip : 46143-9717
Country : US
Telephone Number : 317-888-7252
Fax Number :
Provider Business Practice Location Address
First Line : 2125 N MORTON ST
Second Line :
City : FRANKLIN
State : IN
Zip : 46131-9624
Country : US
Telephone Number : 317-738-4387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2020
Last Update Date : 10/22/2020

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