Provider Demographics
NPI:1760082226
Name:GARRETT, TERRI KAY (RPH)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:KAY
Last Name:GARRETT
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 1:420 WINDCREST DR
Mailing Address - Street 2:
Mailing Address - City:EARLY
Mailing Address - State:TX
Mailing Address - Zip Code:76802-2353
Mailing Address - Country:US
Mailing Address - Phone:326-647-5724
Mailing Address - Fax:
Practice Address - Street 1:401 W COMMERCE ST # AT
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-1701
Practice Address - Country:US
Practice Address - Phone:325-643-2029
Practice Address - Fax:325-646-9314
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33107183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist