1437381308 NPI number — DR. THOMAS MARK CAMPBELL PHARM.D.

Table of content: DR. THOMAS MARK CAMPBELL PHARM.D. (NPI 1437381308)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437381308 NPI number — DR. THOMAS MARK CAMPBELL PHARM.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAMPBELL
Provider First Name:
THOMAS
Provider Middle Name:
MARK
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437381308
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/11/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 UNIVERSITY PARK DR
Provider Second Line Business Mailing Address:
LIPSCOMB UNIVERSITY COLLEGE OF PHARMACY
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37204-3956
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-966-7164
Provider Business Mailing Address Fax Number:
615-966-7163

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 UNIVERSITY PARK DR
Provider Second Line Business Practice Location Address:
LIPSCOMB UNIVERSITY COLLEGE OF PHARMACY
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37204-3956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-966-7164
Provider Business Practice Location Address Fax Number:
615-966-7163
Provider Enumeration Date:
08/11/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  32940 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 183500000X , with the licence number: 17379 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)