Individual
AMANDA J DOUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19600 ALBERTA ST, ONEIDA, TN 37841-3302
(423) 286-2270
Mailing address
214 BRADEN HILL DR, ONEIDA, TN 37841-5946
(239) 738-6462
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
82757
TN
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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