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Contact Information

LARRY M PROFFITT, DPH
1000 WEST G ST
BURGIE DRUGSTORE LLC
ELIZABETHTON, TN37643
 Phone: 423-542-4622
 Fax: 423-542-2564
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for LARRY M PROFFITT · (Male)

NPI # 1417048760
Status Active
Credentials DPH
Entity Individual
Enumeration date 09/28/2006
Last updated 08/31/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 3208
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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