MR. Robert L Fannon

NPI #1871615807 in Lafollette, Tennessee

Provider Information

NPI Number: 1871615807
Entity Type: Individual
Name: MR. Robert L Fannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Apr 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 502 W CENTRAL AVE
Address 2: RIGGS DRUG
City: Lafollette
State: Tennessee
ZIP Code: 37766
Phone: (423) 562-5235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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