Individual
AUSTIN COREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
188 HOSPITAL LN, JELLICO, TN 37762-4400
(423) 455-0245
Mailing address
160 GOLDBUG CHURCH RD, WILLIAMSBURG, KY 40769-9607
(606) 224-8504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47209
TN
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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