Doctor Name: | MRS. BRIDGETT NICOLE SPIVEY |
NPI Number: | 1588878813 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPHT |
License Number: | 0000014102 |
Business Practice Address: | 758 Highway 46 S Dickson, TN - 370552556 |
Business Phone Number: | 6154469865 |
Business Fax Number: | 6154469867 |
Mailing Address: | 1248 Abiff Rd, BON AQUA |
State: | TN |
Postal Code: | 370255030 |
Phone Number: | 6153475541 |
Fax Number: | 6154469867 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 0000014102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |