Individual
MANDY DISHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5104 BOBBY HICKS HWY, GRAY, TN 37615-6217
(423) 477-3372
(423) 477-8533
Mailing address
5104 BOBBY HICKS HWY, GRAY, TN 37615-6217
(423) 477-3372
(423) 477-8533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
30853
TN
183500000X
Pharmacist
Primary
RPH022593
GA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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