Individual
DR. ALISSA DOWER MIRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2824 APPALACHIAN HWY, JACKSBORO, TN 37757-2834
(423) 566-5323
Mailing address
146 MOUNTAIN VIEW RD, JACKSBORO, TN 37757-2329
(423) 912-2679
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000039489
TN
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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