Individual
BRIAN KENT BEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1301 N ROAN ST, JOHNSON CITY, TN 37601-3941
(423) 928-3130
Mailing address
1301 N ROAN ST, JOHNSON CITY, TN 37601-3941
(423) 928-3130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6653
TN
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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