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ROBERT JOHN BRAIDWOOD BSPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1497973853

Individual Registrant:
 ROBERT JOHN BRAIDWOOD BSPH
Gender: M
Sole Proprietor

Location and contact information for practice:
1212 STATE ST  WHITE PINE, TN 37890-3467 US
Tel: 865-674-7517  Fax: 865-453-2671

Contact information for business:
926 TWO NOTCH DR  KNOXVILLE, TN 37920-6727 US
Tel: 865-591-3030  Fax: --

Registration Information:
NPI: 1497973853
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
TN12841

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS TN - Page 1



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