Individual
BENNY LEE RABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1582 N BROAD ST, TAZEWELL, TN 37879-4383
(423) 626-7455
Mailing address
1582 N BROAD ST, TAZEWELL, TN 37879-4383
(423) 626-7455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33479
TN
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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