Individual
LARISSA BOSSAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
208 MEDICAL PARK BLVD, BRISTOL, TN 37620-7343
(423) 989-4050
Mailing address
106 EMERALD CHASE CIR, JOHNSON CITY, TN 37615-4969
(843) 696-0157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33838
TN
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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