Individual
MS. TRACY LYNN BAMMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
951 HIGHWAY 126, BRISTOL, TN 37620-3353
(423) 844-6840
(423) 844-0363
Mailing address
386 CAVE HILL RD, BLOUNTVILLE, TN 37617-6223
(423) 844-6840
(423) 844-0363
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000014377
TN
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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