Ms Teresa Shanks Graham, RPH, BCPP is a
Pharmacist - Psychiatric based in Madison Hts, Virginia. Ms Teresa Shanks Graham is licensed to practice in Virginia (license number 0202001802) and her current practice location is
521 Colony Rd, Madison Hts, Virginia. She can be reached at her office (for appointments etc.) via phone at
(434) 947-2081.
NPI number for Ms Teresa Shanks Graham is 1164429098 and her current mailing address is 101 Summerwood Ln, Forest, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164429098.
Healthcare Provider's Profile
| Full Name | Ms Teresa Shanks Graham |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist - Psychiatric |
|---|
| Location | 521 Colony Rd, Madison Hts, Virginia |
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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: 1164429098
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 08/30/2011
Medical Identifiers
Medical identifiers for Ms Teresa Shanks Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164429098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1835P1300X | Pharmacist - Psychiatric | 0202001802 (Virginia) | 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. Ms Teresa Shanks Graham 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 |
|---|
Ms Teresa Shanks Graham, RPH, BCPP
101 Summerwood Ln,
Forest, VA 24551-1107
Ph: (434) 665-0483 | Ms Teresa Shanks Graham, RPH, BCPP
521 Colony Rd,
Madison Hts, VA 24572-2105
Ph: (434) 947-2081 |
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