Individual
RONALD ETHAN PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 E CEDAR ST, BRISTOL, TN 37620-3928
(423) 968-7983
Mailing address
308 E CEDAR ST, BRISTOL, TN 37620-3928
(423) 968-7983
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
0202216140
VA
1835P1200X
Pharmacotherapy Pharmacist
Primary
41545
TN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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