Provider Demographics
NPI:1952067092
Name:TUGGLE, TORI SHAY (PHARMD)
Entity Type:Individual
Prefix:
First Name:TORI
Middle Name:SHAY
Last Name:TUGGLE
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 1:1860 OUTER LOOP STE 348
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40219-3429
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1250 PATROL RD STE 100
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:IN
Practice Address - Zip Code:47111-8670
Practice Address - Country:US
Practice Address - Phone:855-647-7379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-12
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV21132183500000X
LAPST.023925183500000X
KS1-113439183500000X
MD27868183500000X
OK19415183500000X
ORRPH-0018622183500000X
TN45604183500000X
SDR-6903183500000X
NE17005183500000X
AL21890183500000X
ARPD15732183500000X
MAPH240542183500000X
MI5302413165183500000X
MST-100078183500000X
KY021292183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist