Provider Demographics
NPI:1194311100
Name:MONAGHAN, ROBERT CLELAND II (PHARMD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:CLELAND
Last Name:MONAGHAN
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2063
Mailing Address - Country:US
Mailing Address - Phone:615-995-0358
Mailing Address - Fax:
Practice Address - Street 1:1228 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-3208
Practice Address - Country:US
Practice Address - Phone:615-444-4471
Practice Address - Fax:615-444-1073
Is Sole Proprietor?:No
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist