Provider Demographics
NPI:1871358945
Name:CHAMBERS, RICK A (PHARMD)
Entity type:Individual
Prefix:
First Name:RICK
Middle Name:A
Last Name:CHAMBERS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7227 POPLAR PIKE
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3730
Mailing Address - Country:US
Mailing Address - Phone:901-481-1511
Mailing Address - Fax:662-404-8998
Practice Address - Street 1:8831 GOODMAN RD
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-2203
Practice Address - Country:US
Practice Address - Phone:662-404-8989
Practice Address - Fax:662-404-8998
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST08971183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist