Individual
JAVAN CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1757 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-3736
(423) 254-6604
(423) 254-6603
Mailing address
1757 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-3736
(423) 254-6604
(423) 254-6603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36606
TN
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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