Individual
MARY KATHERINE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2240 N ROAN ST, JOHNSON CITY, TN 37601-2521
(423) 283-4942
Mailing address
405 GARMON DR, KINGSPORT, TN 37663-2505
(276) 608-0880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39444
TN
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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