Provider Demographics
NPI:1598073843
Name:DUNCAN, TAMMY W (RPH)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:W
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2616 HIGHWAY 82 E
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38703-8224
Mailing Address - Country:US
Mailing Address - Phone:662-332-2331
Mailing Address - Fax:662-332-2160
Practice Address - Street 1:2616 HIGHWAY 82 E
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38703-8224
Practice Address - Country:US
Practice Address - Phone:662-332-2331
Practice Address - Fax:662-332-2160
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST7975183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist