NPI 1063702736

Thomas Dwight Beard, DPH

Practitioner Pharmacist La Vergne, TN

Practice location

Address: 5192 Murfreesboro Rd, La Vergne, TN 37086-2712
Phone: (615) 213-2222
Fax: (615) 213-2227
Mailing address: 6956 Venetian Way, Murfreesboro, TN 37129-3802

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 4358 (TN)

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Registry record

NPI: 1063702736
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2011
Record last updated: 15 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.