Provider Demographics
NPI:1144662040
Name:RHODES, ANDREW TYLER (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:TYLER
Last Name:RHODES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 S GALLAHER VIEW RD
Mailing Address - Street 2:UNIT #20
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5356
Mailing Address - Country:US
Mailing Address - Phone:615-430-8715
Mailing Address - Fax:
Practice Address - Street 1:380 S ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6221
Practice Address - Country:US
Practice Address - Phone:865-483-3301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist