Individual
MARIA ELENA MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 HIGHWAY 321 N, LENOIR CITY, TN 37771-6409
(865) 986-9002
Mailing address
2920 FORD RD, LENOIR CITY, TN 37772-5770
(865) 229-1004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44039
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099049944
DRIVERS LICENSE
TN
01
—
44039
PHARMACIST LICENSE
TN
Enumeration date
03/29/2021
Last updated
03/29/2021
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