Individual
ALYSSA ROSE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
524 ANDREW JOHNSON HWY, STRAWBERRY PLAINS, TN 37871-1015
(865) 933-4149
Mailing address
3650 RAVEN GROVE WAY APT 633, KNOXVILLE, TN 37918-7095
(423) 243-4693
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000045265
TN
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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