Individual
DR. BRANDON THOMAS LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2217 N BROADWAY ST, KNOXVILLE, TN 37917-4719
(865) 525-4629
Mailing address
2217 N BROADWAY ST, KNOXVILLE, TN 37917-4719
(865) 525-4629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36966
TN
Other
Enumeration date
09/22/2012
Last updated
09/22/2012
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