MEDICARE: DR. RUFUS G HARMON PHD

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
1	183500000X	Pharmacist	3690	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4435170	OTHER		NABP

General Provider Information

NPI Number	:	1891753117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUFUS G HARMON PHD

Provider Business Mailing Address
First Line	:	1009 JACKSON DR
Second Line	:
City	:	PULASKI
State	:	TN
Zip	:	38478
Country	:	US
Telephone Number	:	931-363-8272
Fax Number	:

Provider Business Practice Location Address
First Line	:	534 N MILITARY ST
Second Line	:
City	:	LORETTO
State	:	TN
Zip	:	38469
Country	:	US
Telephone Number	:	931-853-7421
Fax Number	:	931-853-7451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	07/08/2007

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