Advanced Specialty Pharmacy Of Knoxville, Llc

NPI 1104057579 - Pharmacy - 333600000X

NPI Details
NPI 1104057579
Enumeration Date 08/04/2009
Last Updated 10/04/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name CHARLES R CHARLES
Position OWNER
Phone (865) 909-9713
Fax (865) 909-9397
Practice Location
1709 MIDPARK RD
SUITE A
KNOXVILLE TN, 37921-5983, US
Phone (865) 909-9713
Fax (865) 909-9397
Business Location
1709 MIDPARK RD
SUITE A
KNOXVILLE TN, 37921-5983, US
Phone (865) 909-9713
Fax (865) 909-9397
Toxanomy
Taxonomy Code 333600000X
License State Tennessee
License Number 4499
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According to our database, Advanced Specialty Pharmacy Of Knoxville, Llc NPI is 1104057579, taxonomy code is 333600000X and license number is 4499, license state is located at Tennessee. Advanced Specialty Pharmacy Of Knoxville, Llc physically located at 1709 Midpark Rd, Knoxville TN, 37921-5983. NPI Number 1033115704 has the healthcare provider type.

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1104057579 NPI number is provided on an as is basis without warranty of any kind. 1104057579 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Specialty Pharmacy Of Knoxville, Llc are for informational purposes only.