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Individual

DR. I. SHANE TRENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD, MBA

Contact information

Practice address
1420 TUSCULUM BLVD, LAUGHLIN MEMORIAL HOSPITAL, GREENEVILLE, TN 37745-4279
(423) 787-5065
(423) 787-5067
Mailing address
474 OLD EMBREEVILLE RD, JONESBOROUGH, TN 37659-6175
(423) 327-4702
(423) 787-5067

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11200
TN

Other

Enumeration date
01/23/2007
Last updated
07/08/2007
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