Provider Demographics
NPI:1194478750
Name:MAYERS, ELIZABETH SHARLENE (DPH)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SHARLENE
Last Name:MAYERS
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:SHRLENE
Other - Last Name:MALONE-MAYERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:D PH PHARMACY
Mailing Address - Street 1:3287 VINEMONT DR
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-2924
Mailing Address - Country:US
Mailing Address - Phone:901-679-2734
Mailing Address - Fax:
Practice Address - Street 1:9100 CAROTHERS PKWY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6300
Practice Address - Country:US
Practice Address - Phone:615-771-6446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32349183500000X
TN9248183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist