Individual
JOHN MANCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
650 CARL PERKINS PKWY, TIPTONVILLE, TN 38079
(731) 253-0153
(731) 253-0143
Mailing address
650 CARL PERKINS PKWY, TIPTONVILLE, TN 38079-1678
(731) 253-0153
(731) 253-0143
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33096
TN
Other
Enumeration date
10/27/2016
Last updated
08/31/2018
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