Individual
DR. THERON NEAL FOURAKRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, PHARMD, BCPS
Contact information
Practice address
3400 LEBANON RD, VA-TENNESSEE VALLEY HEALTHCARE SYSTEM-PHARMACY DEPT. (1, MURFREESBORO, TN 37129-1237
(615) 225-5378
Mailing address
3400 LEBANON RD, VA-TENNESSEE VALLEY HEALTHCARE SYSTEM-PHARMACY DEPT. (1, MURFREESBORO, TN 37129-1237
(615) 225-5378
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0000023959
TN
1835P1200X
Pharmacotherapy Pharmacist
Primary
23959
TN
Other
Enumeration date
06/16/2008
Last updated
03/20/2024
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