Provider First Line Business Practice Location Address:
ROOM 330 BLDG 7 MAPLE AVE
Provider Second Line Business Practice Location Address:
GATTON COLLEGE OF PHARMACY
Provider Business Practice Location Address City Name:
JOHNSON CITY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
18-285-5009
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/22/2021