Provider Demographics
NPI:1538793567
Name:FPM LLC
Entity type:Organization
Organization Name:FPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMMY
Authorized Official - Middle Name:R
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-238-3800
Mailing Address - Street 1:43 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-1519
Mailing Address - Country:US
Mailing Address - Phone:731-307-8624
Mailing Address - Fax:
Practice Address - Street 1:6078 S 1ST ST
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:TN
Practice Address - Zip Code:38358-3131
Practice Address - Country:US
Practice Address - Phone:731-238-3800
Practice Address - Fax:731-249-9972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy