Individual
KYLE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
Mailing address
2114 ELLIOTT AVE APT 8, NASHVILLE, TN 37204-2118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
44245
TN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
44245
TN
Other
Enumeration date
06/30/2020
Last updated
07/27/2022
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