Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LARRY MICHAEL PROFFITT, DPH
Active Sole ProprietorMR. LARRY MICHAEL PROFFITT, DPH is a Pharmacist healthcare provider located in ELIZABETHTON, Tennessee. NPI 1417048760 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · ELIZABETHTON, TN
Registration Details
- NPI Number
- 1417048760
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.7305749268 yrs)
- Last Updated
- Aug 31, 2015
- License
-
3208 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 WEST G STBURGIE DRUGSTORE LLCELIZABETHTON, TN, 37643Browse TN providers · Browse ZIP 37643
- Phone
- 4235424622
- Fax
- 4235422564
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in ELIZABETHTON, TN
| Name | Credential | NPI |
|---|---|---|
| MR. KENNETH GENE SOUDER | DPH | 1508848235 |
| DR. JAMES HARRIS ANDERSON | D.PH | 1528044070 |
| JAMES ROBERT HARRIS | RPH | 1881644276 |
| MRS. RENEE ELLA HORTON | DPH | 1285725549 |
| MR. TYLER DEAN HYDER | DPH | 1316030539 |
| DR. HARRY D HILTON | DPH | 1992831739 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.