Individual
MRS. CONNIE F RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, DPH
Contact information
Practice address
501 ADESA BLVD, LENOIR CITY, TN 37771
(865) 986-4530
Mailing address
212 SUGARWOOD DRIVE, KNOXVILLE, TN 37934
(865) 675-7878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4654
TN
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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