Organization
PENINSULA OUTPATIENT PHARMACY - KNOX
Active
Other names
Peninsula Outpatient Pharmacy - Knox
Organization subpart
No
Provider details
NPI number
Authorized official
NEELEY DOWNER (MANAGER OF PHARMACY OPERATIONS)
(865) 374-7102
Entity
Organization
Contact information
Practice address
1451 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2441
(865) 374-7200
(865) 374-7201
Mailing address
1451 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2441
(865) 374-7200
(865) 374-7201
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00004665
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120648
PK
—
Enumeration date
06/16/2009
Last updated
03/08/2017
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