Individual
DR. LISA ROARK BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
133 E RACE ST, KINGSTON, TN 37763-2824
(865) 376-6452
(865) 376-7729
Mailing address
PO BOX 149, KINGSTON, TN 37763-0149
(865) 376-6452
(865) 376-7729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8025
TN
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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