Individual
DR. KRISTOPHER WILLIAM FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
132 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-2535
(865) 471-0548
Mailing address
723 WHALEY LN, KNOXVILLE, TN 37920-8005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29383
TN
Other
Enumeration date
06/26/2010
Last updated
06/26/2010
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