Individual
BRIAN MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 BROAD ST, ELIZABETHTON, TN 37643-2714
(423) 547-2733
Mailing address
300 GREEN VALLEY DR, JOHNSON CITY, TN 37601-1374
(423) 943-9442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202214429
VA
183500000X
Pharmacist
24830
NC
183500000X
Pharmacist
Primary
38563
TN
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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