Douglas, Tara Mistell

Douglas, Tara Mistell is an individual health care provider with primary practice located at 279 Underpass Dr , Oneida TN 37841-5885. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Douglas, Tara Mistell can be contacted via phone (423) 569-7800.

Contact Information

Primary practice address
279 Underpass Dr Oneida TN 37841-5885
Phone: (423) 569-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 19006 Tennessee

Profile Details

NPI number 1184153264
LBN Legal business name Douglas, Tara Mistell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2017
Last updated Jun 12th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184153264 NPPES
Tennessee Other 19006 STATE OF TENNESSE BOARD OF PHARMACY

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