Individual
AMY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 MAIN ST, BEAN STATION, TN 37708-4257
(865) 993-4074
Mailing address
1034 MAIN ST, BEAN STATION, TN 37708-4257
(865) 993-4074
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000012736
TN
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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