Individual
JOHN ISHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9170 STATE HWY 68, TELLICO PLAINS, TN 37385
(423) 253-2823
Mailing address
608 BUTTERNUT TRCE, LA VERGNE, TN 37086-3451
(615) 839-2715
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43948
TN
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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