Individual
LEE SEARGEANT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1489
Mailing address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1489
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5221
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445115
—
TN
01
—
5221
PHARMACIST
TN
Enumeration date
02/13/2018
Last updated
02/13/2018
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