Pramukh Ashish 1 LLC
NPI #1477012748 in Lenoir City, Tennessee
Provider Information
- NPI Number
- 1477012748
- Entity Type
- Organization
- Organization Name
- Pramukh Ashish 1 LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 17, 2019
- Last Updated
- May 29, 2019
Practice Location
- Address
- 460 MEDICAL PARK DR STE 101
- City
- Lenoir City
- State
- Tennessee
- ZIP Code
- 37772-5782
- Phone
- (865) 328-2482
Authorized Official
- Name
- RAJDEEP PATEL, RPH
- Title
- OWNER
- Phone
- (865) 328-2482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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