Individual
MRS. KYSHA LAURELLE LANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH.
Contact information
Practice address
129 GILL ST, ALCOA, TN 37701-2656
(865) 984-7704
(865) 984-6220
Mailing address
129 GILL ST, ALCOA, TN 37701
(865) 984-7704
(865) 984-6220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C9910
TN
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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