Individual
KUSH MANISH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
373 S ILLINOIS AVE, OAK RIDGE, TN 37830-6741
(865) 483-9825
Mailing address
8265 ZODIAC LN, POWELL, TN 37849-3673
(229) 699-5333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48369
TN
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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