Organization
PRAMUKH ASHISH 1 LLC
Active
Other names
Vistara Pharmcy
Organization subpart
No
Provider details
NPI number
Authorized official
MANAN PATEL RPH (OWNER)
(865) 328-2482
Entity
Organization
Contact information
Practice address
460 MEDICAL PARK DR STE 101, LENOIR CITY, TN 37772-5782
(865) 328-2482
(865) 328-2483
Mailing address
460 MEDICAL PARK DR STE 101, LENOIR CITY, TN 37772-5782
(865) 328-2482
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/17/2019
Last updated
03/31/2026
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