Individual
KEATON STEELE ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
807 UNIVERSITY PKWY, JOHNSON CITY, TN 37614-6500
(423) 439-2068
Mailing address
3609 IAN DR, JOHNSON CITY, TN 37604-2762
(317) 874-8190
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
45016903A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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