Individual
DEANNA WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1924 ALCOA HWY, BOX U-41, KNOXVILLE, TN 37920-1511
(865) 305-9124
(865) 305-8242
Mailing address
1924 ALCOA HWY, BOX U-41, KNOXVILLE, TN 37920-1511
(865) 305-9124
(865) 305-8242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8854
TN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
8854
TN
1835P2201X
Ambulatory Care Pharmacist
8854
TN
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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