Individual
MISS MICHELLE NICOLE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
501 ADESSA PKWY STE A150, LENOIR CITY, TN 37771-6719
(865) 986-4530
(865) 986-4909
Mailing address
2580 BROWDER HOLLOW RD LOT 26, LENOIR CITY, TN 37771-8166
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2001-1108-2401-772
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023597
TN. PHARMACY BOARD
TN
01
—
4438568
NCPDP
TN
Enumeration date
11/06/2006
Last updated
03/07/2023
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