Provider Demographics
NPI:1750664736
Name:PARTON, SALLIE D (RPH)
Entity Type:Individual
Prefix:MISS
First Name:SALLIE
Middle Name:D
Last Name:PARTON
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 1:1300 HAZELWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-3922
Mailing Address - Country:US
Mailing Address - Phone:615-223-5568
Mailing Address - Fax:615-223-6971
Practice Address - Street 1:1300 HAZELWOOD DR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3922
Practice Address - Country:US
Practice Address - Phone:615-223-5568
Practice Address - Fax:615-223-6971
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6379183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist