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Individual

DWIGHT ALAN DISNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2141 W EMORY RD, POWELL, TN 37849-3704
(865) 947-4353
(865) 947-4353
Mailing address
2141 W EMORY RD, POWELL, TN 37849-3704
(865) 947-4353

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7352
TN

Other

Enumeration date
11/14/2023
Last updated
11/14/2023
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