NPI 1497368815

Ian Carter McCormick, PHARMD

Practitioner Pharmacist Maynardville, TN

Practice location

Address: 2710 Maynardville Highway, Maynardville, TN 37807
Phone: (865) 992-8581
Fax: (865) 992-2528

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0000043644 (TN)

Other Pharmacist providers in Tennessee →

Registry record

NPI: 1497368815
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2020
Record last updated: 25 Aug 2020

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.