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Organization

ADVANCED SPECIALTY PHARMACY OF KNOXVILLE, LLC

Active
Other names
Heartland Apothecary
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES R WALL (OWNER)
(865) 909-9713
Entity
Organization

Contact information

Practice address
9947 KINGSTON PIKE, KNOXVILLE, TN 37922-6923
(865) 909-9713
(865) 909-9397
Mailing address
9947 KINGSTON PIKE, KNOXVILLE, TN 37922-6923
(865) 909-9713
(865) 909-9397

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4499
TN

Other

Enumeration date
08/04/2009
Last updated
10/08/2020
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