Individual
MASON REID MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2111 HIGHWAY 72 N, LOUDON, TN 37774-5719
(865) 458-9938
Mailing address
2111 HIGHWAY 72 N, LOUDON, TN 37774-5719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48730
TN
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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