Individual
CARA COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 LYNN GARDEN DR, KINGSPORT, TN 37660-5608
(423) 408-6162
Mailing address
750 LYNN GARDEN DR, KINGSPORT, TN 37660-5608
(423) 408-6162
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202214374
VA
183500000X
Pharmacist
Primary
39517
TN
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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