Individual
MR. JOE A LEATHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
225 N HALL RD, ALCOA, TN 37701
(865) 982-2463
Mailing address
310 TACKWOOD TRAIL, MARYVILLE, TN 37803
(865) 661-5864
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5457
TN
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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