Mr Terry Wade Stubblefield, RPH is a
Pharmacist based in Ecru, Mississippi. Mr Terry Wade Stubblefield is licensed to practice in Mississippi (license number E7002) and his current practice location is
1065 County Road 228, Ecru, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 587-3284.
NPI number for Mr Terry Wade Stubblefield is 1104199934 and his current mailing address is 1065 County Road 228, Ecru, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104199934.
Healthcare Provider's Profile
| Full Name | Mr Terry Wade Stubblefield |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 1065 County Road 228, Ecru, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104199934
- Provider Enumeration Date: 02/09/2012
- Last Update Date: 11/27/2012
Medical Identifiers
Medical identifiers for Mr Terry Wade Stubblefield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104199934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | E7002 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Terry Wade Stubblefield is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Terry Wade Stubblefield, RPH
1065 County Road 228,
Ecru, MS 38841
Ph: (662) 587-3284 | Mr Terry Wade Stubblefield, RPH
1065 County Road 228,
Ecru, MS 38841
Ph: (662) 587-3284 |
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