Provider Demographics
NPI:1427315670
Name:NORRIS, TERESA (PHARMD)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:NORRIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8039 US HIGHWAY 51 N
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38053-1730
Mailing Address - Country:US
Mailing Address - Phone:901-872-0167
Mailing Address - Fax:901-872-0176
Practice Address - Street 1:8039 US HIGHWAY 51 N
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053-1730
Practice Address - Country:US
Practice Address - Phone:901-872-0167
Practice Address - Fax:901-872-0176
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8874183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist