Individual
TARA MISTELL DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
279 UNDERPASS DR, ONEIDA, TN 37841-5885
(423) 569-7800
Mailing address
749 BART GRANT HOLLOW RD, WINFIELD, TN 37892-3664
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
19006
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19006
STATE OF TENNESSE BOARD OF PHARMACY
TN
Enumeration date
06/12/2017
Last updated
06/12/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us