Randall Paul Penland, DPH
Pharmacist in Newport, TN. Individual provider (NPI-1).
NPI number1194852228
StatusActive
Last updated in NPPESMar 13, 2015
Details
- NPI
- 1194852228
- Entity type
- Individual (NPI-1)
- Name
- Randall Paul Penland
- Credential
- DPH
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2007
- Last updated
- Mar 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 453 | TN | Yes |
Practice location
602 E BroadwayNewport, TN 37821-3246
Phone 865-806-3625
Mailing address
243 Redwolf WayLenoir City, TN 37772-5767
Phone 865-806-3625
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