Provider Demographics
NPI:1104134659
Name:PARTON, LEONARD HUGH (DPH)
Entity type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:HUGH
Last Name:PARTON
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 DECHERD BLVD
Mailing Address - Street 2:
Mailing Address - City:DECHERD
Mailing Address - State:TN
Mailing Address - Zip Code:37324-3657
Mailing Address - Country:US
Mailing Address - Phone:931-962-1605
Mailing Address - Fax:931-962-1754
Practice Address - Street 1:1755 DECHERD BLVD
Practice Address - Street 2:
Practice Address - City:DECHERD
Practice Address - State:TN
Practice Address - Zip Code:37324-3657
Practice Address - Country:US
Practice Address - Phone:931-962-1605
Practice Address - Fax:931-962-1754
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4959183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist