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Individual

CEPHAS HIRAM SLOAN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
121 E RAVINE RD, STE. 100 (MARCUM'S), KINGSPORT, TN 37660-3816
(423) 246-6166
(423) 246-9259
Mailing address
121 E RAVINE RD, STE. 100 (MARCUM'S), KINGSPORT, TN 37660-3816
(423) 246-6166
(423) 246-9259

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000036894
TN

Other

Enumeration date
05/12/2014
Last updated
05/12/2014
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