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MELODIE ANN LONG CPHT

>> Pharmacy Technician >> Pharmacy Service Providers

Registrant NPI Number: 1891361069

Individual Registrant:
 MELODIE ANN LONG CPHT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1212 STATE ST  WHITE PINE, TN 37890-3467 US
Tel: 865-674-7517  Fax: 865-674-8198

Contact information for business:
1212 STATE ST  WHITE PINE, TN 37890-3467 US
Tel: 865-674-7517  Fax: 865-674-8198

Registration Information:
NPI: 1891361069
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183700000XPharmacy Service Providers
Pharmacy Technician
TN0000026120

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS TN - Page 1



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