Provider Demographics
NPI:1518344936
Name:SCIOSCIA, TERRI LYNN (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:LYNN
Last Name:SCIOSCIA
Suffix:
Gender:F
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 1:1940 N JACKSON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-8256
Mailing Address - Country:US
Mailing Address - Phone:615-900-8089
Mailing Address - Fax:
Practice Address - Street 1:609 CORNISH ST
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-3956
Practice Address - Country:US
Practice Address - Phone:931-563-1019
Practice Address - Fax:931-563-1020
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41474183500000X, 183500000X
MST-15311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist