Dr Larry Arthur Wiley, DPH is a
Pharmacist based in Altamont, Tennessee. Dr Larry Arthur Wiley is licensed to practice in Tennessee (license number 5630) and his current practice location is
1595 Main Street, Box 157, Altamont, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 779-2217.
NPI number for Dr Larry Arthur Wiley is 1598754541 and his current mailing address is 1595 Main Street, P. O. Box 157, Altamont, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598754541.
Healthcare Provider's Profile
| Full Name | Dr Larry Arthur Wiley |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
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| Location | 1595 Main Street, Altamont, Tennessee |
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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: 1598754541
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Larry Arthur Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598754541 | NPI | - | NPPES |
| 354-7472 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 5630 (Tennessee) | 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. Dr Larry Arthur Wiley 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 |
|---|
Dr Larry Arthur Wiley, DPH
1595 Main Street, P. O. Box 157,
Altamont, TN 37301
Ph: (931) 779-2217 | Dr Larry Arthur Wiley, DPH
1595 Main Street, Box 157,
Altamont, TN 37301
Ph: (931) 779-2217 |
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