Individual
DR. BROOKE STAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-3111
Mailing address
36 SUTTER PL, JOHNSON CITY, TN 37615-4867
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
34332
TN
Other
Enumeration date
06/13/2020
Last updated
06/13/2020
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