Crystal Gail Mangrum, C.PH.T
NPI #1518019876 in Kingston Springs, Tennessee
Provider Information
- NPI Number
- 1518019876
- Entity Type
- Individual
- Name
- Crystal Gail Mangrum, C.PH.T
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacy Technician
- Credential
- C.PH.T
- Enumeration Date
- Jan 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 111 W. KINGSTON SPRINGS RD
- Address 2
- STE 103
- City
- Kingston Springs
- State
- Tennessee
- ZIP Code
- 37082
- Phone
- (615) 952-3690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy Technician |
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