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Individual

DR. DWIGHT OWENS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1 MEDICAL PARK BLVD, DEPT OF PHARMACY, BRISTOL, TN 37620-7430
(423) 844-2868
(423) 844-2866
Mailing address
304 WIMBERLY WAY, BRISTOL, TN 37620-7170
(423) 968-5061
(423) 844-2866

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202012710
VA
183500000X
Pharmacist
12659
NC
183500000X
Pharmacist
Primary
9371
TN

Other

Enumeration date
05/24/2006
Last updated
07/08/2007
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