Individual
DR. MICAH SHAWN LARKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4500 W STONE DR, KINGSPORT, TN 37660-1049
(423) 245-6839
(423) 245-6745
Mailing address
4500 W STONE DR, KINGSPORT, TN 37660-1049
(423) 245-6839
(423) 245-6745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23972
TN
Other
Enumeration date
07/05/2010
Last updated
07/05/2010
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