Provider Demographics
NPI:1356647580
Name:STRICKLAND, TOMMY LEE (DPH)
Entity Type:Individual
Prefix:
First Name:TOMMY
Middle Name:LEE
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 153
Mailing Address - Street 2:
Mailing Address - City:TENNESSEE RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37178-0153
Mailing Address - Country:US
Mailing Address - Phone:931-721-2218
Mailing Address - Fax:
Practice Address - Street 1:5897 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ERIN
Practice Address - State:TN
Practice Address - Zip Code:37061-4168
Practice Address - Country:US
Practice Address - Phone:931-289-5995
Practice Address - Fax:931-289-5997
Is Sole Proprietor?:No
Enumeration Date:2011-02-05
Last Update Date:2011-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10012183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist