Individual
MR. LARRY MICHAEL PROFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1000 WEST G ST, BURGIE DRUGSTORE LLC, ELIZABETHTON, TN 37643
(423) 542-4622
(423) 542-2564
Mailing address
1000 WEST G ST, BURGIE DRUGSTORE LLC, ELIZABETHTON, TN 37643
(423) 542-4622
(423) 542-2564
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3208
TN
Other
Enumeration date
09/28/2006
Last updated
08/31/2015
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