Individual
LAWRENCE EVAN FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
180 KEITH ST SW, CLEVELAND, TN 37311-5869
(423) 476-4539
Mailing address
180 KEITH ST SW, CLEVELAND, TN 37311-5869
(423) 476-4539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46119
TN
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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