Organization
TOTAL HEALTH
Active
Other names
TOTAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY GORDAN DPH (PHARMACIST)
(865) 693-1025
Entity
Organization
Contact information
Practice address
7259 OAK RIDGE HWY, KNOXVILLE, TN 37931-2614
(965) 693-1025
(865) 691-7653
Mailing address
7259 OAK RIDGE HWY, KNOXVILLE, TN 37931-2614
(865) 693-1025
(865) 691-7653
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4232
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094878
PK
—
Enumeration date
07/30/2006
Last updated
10/07/2014
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