State of Tennessee
NPI #1295949972 in Greeneville, Tennessee
Provider Information
- NPI Number
- 1295949972
- Entity Type
- Organization
- Organization Name
- State of Tennessee
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- May 10, 2007
- Last Updated
- Dec 14, 2007
Practice Location
- Address
- 810 W CHURCH ST
- City
- Greeneville
- State
- Tennessee
- ZIP Code
- 37745-3285
- Phone
- (423) 798-1749
Authorized Official
- Name
- MARIANNE FANEUIL SHARP
- Title
- REGIONAL ACCOUNTANT
- Phone
- (865) 549-5266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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