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Matthew Dickerson
Pharmacist in Portland, Tennessee
NPI 1710568837

Matthew Dickerson is a Pharmacist based in Nashville, TN. Matthew Dickerson practices in Portland, TN. The NPI Number for Matthew Dickerson is 1710568837 and holds a License No. 42646 (Tennessee).

The current practice location address for Matthew Dickerson is 104 Tn-52 W, Portland, TN and can be reached out via phone at 615-325-4058.

Location: 104 Tn-52 W, Portland, TN, 37208-3269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710568837
Provider Name
Matthew Dickerson
Credential
Provider Entity Type
Individual
Gender
Male
Address
104 Tn-52 W, Portland, TN, 37208-3269
Phone Number
615-325-4058
Fax Number
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
104 Tn-52 W
City
Portland
State
Tennessee
Zip
37148
Phone Number
615-325-4058
Fax Number
person
Provider Business Mailing Address Details
Address
104 Tn-52 W
City
Portland
State
Tennessee
Zip
37148
Phone Number
615-325-4058
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
42646 (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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