Individual
DEBERRIAN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5104 BOBBY HICKS HWY, JOHNSON CITY, TN 37615-6217
(423) 477-3372
Mailing address
3804 MEMORIAL BLVD APT 12, KINGSPORT, TN 37664-3500
(423) 491-2224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48412
TN
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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