Provider Demographics
NPI:1609428531
Name:COTHERN, MARGARET (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:COTHERN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MEG
Other - Middle Name:
Other - Last Name:COTHERN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:451 N PICKENS BRIDGE RD UNIT 143
Mailing Address - Street 2:
Mailing Address - City:PINEY FLATS
Mailing Address - State:TN
Mailing Address - Zip Code:37686-4197
Mailing Address - Country:US
Mailing Address - Phone:615-957-5437
Mailing Address - Fax:
Practice Address - Street 1:CORNER OF LAMONT STREET AND VETERANS WAY
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:TN
Practice Address - Zip Code:37684
Practice Address - Country:US
Practice Address - Phone:423-926-1171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN43184183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist