Individual
CHESNEY GANNAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4470 N ROAN ST, JOHNSON CITY, TN 37615-4922
(423) 282-0055
Mailing address
113 HERITAGE CT, JONESBOROUGH, TN 37659-5878
(423) 276-5220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34377
TN
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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