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MELODIE ANN LONG CPHT
>> Pharmacy Technician >> Pharmacy Service ProvidersRegistrant NPI Number: 1891361069
Individual Registrant: MELODIE ANN LONG CPHT
Gender: F
Not Sole Proprietor
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
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
Tel: 865-674-7517 Fax: 865-674-8198
Registration Information:
NPI: 1891361069
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183700000X | Pharmacy Service Providers Pharmacy Technician | TN | 0000026120 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
