Angela Householder
Pharmacist in Knoxville, TN. Individual provider (NPI-1).
NPI number1689200370
StatusActive
Last updated in NPPESMar 13, 2020
Details
- NPI
- 1689200370
- Entity type
- Individual (NPI-1)
- Name
- Angela Householder
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2020
- Certification date
- Mar 13, 2020
- Last updated
- Mar 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 39309 | TN | Yes |
Practice location
9435 S Northshore DrKnoxville, TN 37922-6550
Phone 865-769-2180
Mailing address
9435 S Northshore DrKnoxville, TN 37922-6550
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