Provider Demographics
NPI:1497051775
Name:SCOTT, JOE ANDRY JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:ANDRY
Last Name:SCOTT
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3120
Mailing Address - Country:US
Mailing Address - Phone:615-451-2544
Mailing Address - Fax:615-451-4284
Practice Address - Street 1:420 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3120
Practice Address - Country:US
Practice Address - Phone:615-451-2544
Practice Address - Fax:615-451-4284
Is Sole Proprietor?:No
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6476183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist