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Dr. Macon Devaughn Carroll, PHARMD
Pharmacist in Waynesboro, Tennessee
NPI 1083960504

Macon Devaughn Carroll is a Pharmacist based in Waynesboro, TN. Macon Devaughn Carroll practices in Waynesboro, TN and has the professional credentials of PHARMD. The NPI Number for Macon Devaughn Carroll is 1083960504 and holds a License No. 0000036920 (Tennessee).

The current practice location address for Macon Devaughn Carroll is 107 Jv Mangubat Dr, Waynesboro, TN and can be reached out via phone at 931-722-2296 and via fax at 931-722-3464. You can also correspond with Macon Devaughn Carroll through the mailing address at 215 DEXTER L WOODS MEMORIAL BLVD, WAYNESBORO, TN - 38485-2416 (mailing address contact number: 931-722-5466).

Location: 107 Jv Mangubat Dr, Waynesboro, TN, 38485-2416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083960504
Provider Name
Macon Devaughn Carroll
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
107 Jv Mangubat Dr, Waynesboro, TN, 38485-2416
Phone Number
931-722-2296
Fax Number
931-722-3464
Provider Enumeration Date
08/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36920 01 TN BOARD OF PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
107 Jv Mangubat Dr
City
Waynesboro
State
Tennessee
Zip
38485-2440
Phone Number
931-722-2296
Fax Number
931-722-3464
person
Provider Business Mailing Address Details
Address
107 Jv Mangubat Dr
City
Waynesboro
State
Tennessee
Zip
38485-2440
Phone Number
931-722-2296
Fax Number
931-722-3464
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
0000036920 (Tennessee)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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