Mrs Priscilla Bolt Travis, DPH is a
Pharmacist based in Lavergne, Tennessee. Mrs Priscilla Bolt Travis is licensed to practice in Tennessee (license number 5831) and her current practice location is
5192 Murfreesboro Road, Rite Aid Pharmacy, Lavergne, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(615) 213-2222.
NPI number for Mrs Priscilla Bolt Travis is 1508164997 and her current mailing address is 956 Everett Dr, Smyrna, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508164997.
Healthcare Provider's Profile
| Full Name | Mrs Priscilla Bolt Travis |
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| Gender | Female |
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| Speciality | Pharmacist |
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| Location | 5192 Murfreesboro Road, Lavergne, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508164997
- Provider Enumeration Date: 03/09/2011
- Last Update Date: 03/09/2011
Medical Identifiers
Medical identifiers for Mrs Priscilla Bolt Travis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508164997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 5831 (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. Mrs Priscilla Bolt Travis 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 |
|---|
Mrs Priscilla Bolt Travis, DPH
956 Everett Dr,
Smyrna, TN 37167-6217
Ph: (615) 459-3925 | Mrs Priscilla Bolt Travis, DPH
5192 Murfreesboro Road, Rite Aid Pharmacy,
Lavergne, TN 37086
Ph: (615) 213-2222 |
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