Individual
DR. ETHAN ALEXANDER STULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
220 FOOTHILLS MALL DR, MARYVILLE, TN 37801-5516
(865) 379-7899
Mailing address
1301 SPLENDID OAK WAY, KNOXVILLE, TN 37931-4807
(423) 912-6593
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44153
TN
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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