Individual
DR. ELLEN DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
920 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-3668
(423) 232-9015
Mailing address
920 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-3668
(423) 232-9015
(423) 232-9018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42106
TN
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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