Joe A Leatherwood RPH

NPI 1093090805 - Pharmacist - 183500000X

NPI Details
NPI 1093090805
Gender Male
Enumeration Date 10/13/2011
Last Updated 10/13/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
225 N HALL RD
ALCOA TN, 37701, US
Phone (865) 982-2463
Fax
Business Location
310 TACKWOOD TRAIL
MARYVILLE TN, 37803, US
Phone (865) 661-5864
Fax
Toxanomy
Taxonomy Code 183500000X
License State Tennessee
License Number 5457
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According to our database, Mr. Joe A Leatherwood RPH NPI is 1093090805, taxonomy code is 183500000X and license number is 5457, license state is located at Tennessee. Joe A Leatherwood RPH physically located at 225 N Hall Rd, Alcoa TN, 37701. NPI Number Joe A Leatherwood RPH has the Individual type.

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1093090805 NPI number is provided on an as is basis without warranty of any kind. 1093090805 is maintained by the National Plan & Provider Enumeration System. The contents of Joe A Leatherwood RPH are for informational purposes only.