Provider Demographics
NPI:1740322353
Name:SPRINGFIELD, JOSEPH TEX (PHARMACIST)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:TEX
Last Name:SPRINGFIELD
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 GEORGE AVE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37760-2511
Mailing Address - Country:US
Mailing Address - Phone:865-766-7391
Mailing Address - Fax:
Practice Address - Street 1:127 W. MEETING ST.
Practice Address - Street 2:
Practice Address - City:DANDRIDGE
Practice Address - State:TN
Practice Address - Zip Code:37725
Practice Address - Country:US
Practice Address - Phone:865-397-2868
Practice Address - Fax:865-397-2868
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8733183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist