Organization
ANTI AGING CONCEPTS, LLC
Active
Organization
ANTI AGING CONCEPTS, LLC
Active
Other names
Professional Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY RAYFORD KEEL DPH (CHIEF MANAGER)
(423) 892-8635
Entity
Organization
Contact information
Practice address
1510 GUNBARREL RD, SUITE 700, CHATTANOOGA, TN 37421-7174
(423) 892-8635
(423) 892-8106
Mailing address
1510 GUNBARREL RD, SUITE 700, CHATTANOOGA, TN 37421-7174
(423) 892-8635
(423) 892-8106
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
4141
TN
3336C0003X
Community/Retail Pharmacy
Primary
4141
TN
Other
Enumeration date
01/29/2007
Last updated
04/29/2008
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