Individual
MICAH BOWEN CRAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1050 RUTLEDGE PIKE, BLAINE, TN 37709-3027
(865) 932-7775
Mailing address
1050 RUTLEDGE PIKE, BLAINE, TN 37709-3027
(865) 932-7775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42059
TN
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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