Doctor Name: | DEBORAH H TEAGUE |
NPI Number: | 1104175033 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARMD |
License Number: | 7671 |
Business Practice Address: | 650 Joel Dr Room 3ce31 Fort Campbell, KY - 422235318 |
Business Phone Number: | 2707988880 |
Business Fax Number: | 2709560207 |
Mailing Address: | 650 Joel Dr, Room 3ce31 FORT CAMPBELL |
State: | KY |
Postal Code: | 422235318 |
Phone Number: | 2707988880 |
Fax Number: | 2709560207 |
NPI Enumeration Date: | 09/06/2012 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 7671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |