Provider Demographics
NPI:1851488878
Name:NEBLETT, PATRICK ALLAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:ALLAN
Last Name:NEBLETT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:TN
Mailing Address - Zip Code:37185-1848
Mailing Address - Country:US
Mailing Address - Phone:731-336-7672
Mailing Address - Fax:
Practice Address - Street 1:214 SUNSET DR
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:TN
Practice Address - Zip Code:37185-1848
Practice Address - Country:US
Practice Address - Phone:731-336-7672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3808183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist