Individual
DR. BARBARA LACEY MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
1425 E CENTER ST, KINGSPORT, TN 37664-2501
(423) 245-2181
(423) 245-7261
Mailing address
1200 WHITE ST, KINGSPORT, TN 37664-2044
(423) 245-2181
(423) 245-7261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2181
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C002181
PHARMACIST LICENSE
TN
Enumeration date
10/24/2006
Last updated
07/08/2007
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