Tanya Elaine Boothe

NPI #1396341335 in Bristol, Tennessee

Provider Information

NPI Number
1396341335
Entity Type
Individual
Name
Tanya Elaine Boothe
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Dec 6, 2020
Last Updated
Dec 6, 2020

Practice Location

Address
1379 VOLUNTEER PKWY
ZIP Code
37620-5709
Phone
(423) 968-4136

Specialties & Taxonomy Codes

Specialty
Pharmacist

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