Individual
LISA CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1250 TENNOVA MEDICAL WAY, KNOXVILLE, TN 37909-3120
(865) 895-6072
Mailing address
670 PURGASON RD, MOHAWK, TN 37810-5551
(423) 231-4544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22686
AL
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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