NPI 1003191529

Michael Diamondstone

Practitioner Pharmacist Knoxville, TN

Practice location

Address: 5006 N Broadway St, Knoxville, TN 37918-2340
Phone: (865) 688-1812

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 10527 (TN)

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Registry record

NPI: 1003191529
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2011
Record last updated: 16 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.