Individual
MRS. ELLEN MICHELLE ROBERSON WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
920 BROAD ST, ELIZABETHTON, TN 37643-2315
(423) 542-4925
Mailing address
2574 BOB LITTLE RD, ELIZABETHTON, TN 37643-7220
(423) 543-9723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000011750
TN
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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