Provider Demographics
NPI:1295942852
Name:SCRUGGS, REBECCA CRONE (PHARMD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:CRONE
Last Name:SCRUGGS
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 1:450 HIGHWAY 52 BYP W
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37083-1730
Mailing Address - Country:US
Mailing Address - Phone:615-688-5043
Mailing Address - Fax:615-688-5061
Practice Address - Street 1:450 HIGHWAY 52 BYP W
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:TN
Practice Address - Zip Code:37083-1730
Practice Address - Country:US
Practice Address - Phone:615-688-5043
Practice Address - Fax:615-688-5061
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11484183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist