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Individual

DON H ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
1224 GAY STREET, DANDRIDGE, TN 37725
(865) 397-3444
(865) 397-6279
Mailing address
348 DEER CREEK TRL, WHITE PINE, TN 37890-4923
(865) 674-6488

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4465
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4465
STATE LICENSE
TN
Enumeration date
02/21/2007
Last updated
07/08/2007
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