NPI 1417254723

Michelle Leach, DPHPIC

Practitioner Pharmacist Maynardville, TN

Practice location

Address: 4221 Maynardville Hwy, Maynardville, TN 37807-3555
Phone: (865) 992-9455
Fax: (865) 992-7979

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 7688 (TN)

Other Pharmacist providers in Tennessee →

Registry record

NPI: 1417254723
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2011
Record last updated: 22 Feb 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.