Provider Demographics
NPI:1063463289
Name:GUTHRIE, JOHN THOMAS II (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:THOMAS
Last Name:GUTHRIE
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8024 STAGE HILLS BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-4048
Mailing Address - Country:US
Mailing Address - Phone:800-962-6339
Mailing Address - Fax:901-382-3091
Practice Address - Street 1:8024 STAGE HILLS BLVD STE 107
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133
Practice Address - Country:US
Practice Address - Phone:800-962-6339
Practice Address - Fax:901-382-3091
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017025972183500000X
TX61315183500000X
MD25330183500000X
ORRPH-0016405183500000X
NV19762183500000X
KY019674183500000X
LAPST.022340183500000X
NY063802183500000X
MST-15278183500000X
WVRP0010447183500000X
VA202216540183500000X
OKR-17880183500000X
KS1-105295183500000X
ARPD13510183500000X
TN23932183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist