Individual
JOHN T. HEATHERLY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
119 FORKS OF THE RIVER PKWY, SEVIERVILLE, TN 37862-3435
(865) 908-8755
Mailing address
370 ELKINS RD, JACKSBORO, TN 37757-2418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12839
TN
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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