Individual
DANNY JOE STANLEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
102 E BROADWAY, NEWPORT, TN 37821-2323
(423) 623-0364
(423) 623-7294
Mailing address
751 LEADVALE CHURCH RD, WHITE PINE, TN 37890-4616
(606) 939-2638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46703
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46703
PHARMACIST STATE LICENSE
TN
Enumeration date
08/29/2022
Last updated
08/29/2022
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