Individual
MARK HENEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1050 RUTLEDGE PIKE, OKIES PHARMACY, BLAINE, TN 37709-3027
(865) 932-7775
(865) 932-7770
Mailing address
7734 HOFF LANE, KNOXVILLE, TN 37938-4562
(865) 932-7775
(865) 932-7770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
TN-10815
TN
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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