Individual
MICHAEL CARACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 PATTERSON RD, SALE CREEK, TN 37373-7728
(423) 332-8819
Mailing address
211 PATTERSON RD, SALE CREEK, TN 37373-7728
(423) 332-8819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000029482
TN
Other
Enumeration date
01/29/2008
Last updated
01/18/2013
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