Individual
DR. JOHN E MOTHERAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
2340 CEDAR ST, MC KENZIE, TN 38201-2249
(731) 352-3242
(731) 352-5860
Mailing address
2340 CEDAR ST, MC KENZIE, TN 38201-2249
(731) 352-3242
(731) 352-5860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000002625
TN
Other
Enumeration date
12/04/2006
Last updated
07/12/2012
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