Provider Demographics
NPI:1376031260
Name:KIAMEH, MARION MEYER (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARION
Middle Name:MEYER
Last Name:KIAMEH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 US HIGHWAY 64
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-4187
Mailing Address - Country:US
Mailing Address - Phone:901-382-6106
Mailing Address - Fax:901-371-2159
Practice Address - Street 1:8400 US HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-4187
Practice Address - Country:US
Practice Address - Phone:901-382-6106
Practice Address - Fax:901-371-2159
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8811183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist