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Organization

SMOKY MOUNTAIN HOME INFUSION INC

Active
Other names
Smoky Mountain Home Infusion
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF PETTIS (PHARMACIST)
(865) 712-0133
Entity
Organization

Contact information

Practice address
250 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-3944
(865) 453-2371
(865) 453-1946
Mailing address
PO BOX 5560, SEVIERVILLE, TN 37864-5560

Taxonomy

Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
4512
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4442769
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
05/22/2008
Last updated
12/22/2009
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