Provider Demographics
NPI:1720200660
Name:PHILLIPS, GINGER R (PHARMD)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:R
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 HIGHWAY 142
Mailing Address - Street 2:
Mailing Address - City:SELMER
Mailing Address - State:TN
Mailing Address - Zip Code:38375-6691
Mailing Address - Country:US
Mailing Address - Phone:731-610-6387
Mailing Address - Fax:
Practice Address - Street 1:87 HIGHWAY 142
Practice Address - Street 2:
Practice Address - City:SELMER
Practice Address - State:TN
Practice Address - Zip Code:38375-6691
Practice Address - Country:US
Practice Address - Phone:731-610-6387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program