Individual provider · Type 1 NPI
Ira Dean Fontenot, P.D.
Pharmacist · Collierville, TN
Practice location
998 W Tree Dr
Collierville, TN 38017-1329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 12348 (TN) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1598034142
Ira Dean Fontenot, P.D.'s National Provider Identifier is 1598034142, issued on Dec 27, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Collierville, TN. The record was last updated on Dec 27, 2011.