Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Larry Michael Proffitt, DPH

Individual provider Pharmacist · NPI 1417048760

Mr. Larry Michael Proffitt, DPH is a Pharmacist in Elizabethton, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006
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Practice location Address checks out

1000 W G St Burgie Drugstore Llc
Elizabethton, TN 37643
Phone: (423) 542-4622
Fax: (423) 542-2564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 3208 (TN)

Record details

NPI number1417048760
Entity typeIndividual (Type 1)
GenderMale
Credentials DPH
Sole proprietorYes
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJune 28, 2026
Mailing address1000 West G St, Burgie Drugstore Llc, Elizabethton, TN 37643

Other providers in Elizabethton