Provider Demographics
NPI:1437837028
Name:DUFFEY, SAWYER THOMAS (PHARMD)
Entity Type:Individual
Prefix:
First Name:SAWYER
Middle Name:THOMAS
Last Name:DUFFEY
Suffix:
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 1:30 HIGHLAND RIDGE CV
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-1802
Mailing Address - Country:US
Mailing Address - Phone:731-441-3546
Mailing Address - Fax:
Practice Address - Street 1:246 HIGHWAY 641 N
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:TN
Practice Address - Zip Code:38320-1330
Practice Address - Country:US
Practice Address - Phone:731-213-2452
Practice Address - Fax:731-213-2208
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist