Individual
SHELLY LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4330 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3618
(865) 992-3849
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
56765
TN
Other
Enumeration date
07/22/2022
Last updated
08/01/2024
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