Individual
DR. JACOB STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 934-6786
Mailing address
926 MAIN ST, WARTBURG, TN 37887-4199
(423) 346-3505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37478
TN
Other
Enumeration date
01/16/2014
Last updated
07/21/2022
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