Provider Demographics
NPI:1316923212
Name:FORSHEE, DAVID TERRY (PD, RPH, CDE)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:TERRY
Last Name:FORSHEE
Suffix:
Gender:M
Credentials:PD, RPH, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 WESTSIDE DR NW
Mailing Address - Street 2:SUITE A
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-3503
Mailing Address - Country:US
Mailing Address - Phone:423-559-3000
Mailing Address - Fax:423-559-3007
Practice Address - Street 1:2850 WESTSIDE DR NW
Practice Address - Street 2:SUITE A
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-3503
Practice Address - Country:US
Practice Address - Phone:423-559-3000
Practice Address - Fax:423-559-3007
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4655183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist