Individual
KOURTNI FANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5801 WESTERN AVE, KNOXVILLE, TN 37921-2208
(865) 584-0115
Mailing address
9320 ALDERGATE WAY APT 5102, KNOXVILLE, TN 37922-4426
(865) 898-1019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44380
TN
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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