Provider Demographics
NPI:1780988873
Name:MCEACHIN, TAMARA JOHNSON (BPHARM)
Entity type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:JOHNSON
Last Name:MCEACHIN
Suffix:
Gender:F
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8213 COLEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1530
Mailing Address - Country:US
Mailing Address - Phone:804-513-0738
Mailing Address - Fax:
Practice Address - Street 1:8213 COLEBROOK RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-1530
Practice Address - Country:US
Practice Address - Phone:804-513-0738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202007498183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist