DR. RUSSELL MANTOOTH, PHARMD

Pharmacist

Active Individual
NPI: 1053400374

Practice Address

420 WOODWAY DR
Blountville, TN 37617

Phone: (423) 323-3047

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes 8467 (TN)

Frequently Asked Questions

NPI 1053400374 is the National Provider Identifier for DR. RUSSELL MANTOOTH, PHARMD, a Pharmacist provider located in Blountville, TN. This NPI was enumerated on October 12, 2006.
DR. RUSSELL MANTOOTH, PHARMD practices at 420 WOODWAY DR, Blountville, TN 37617.

Quick Facts

NPI
1053400374
Type
Individual
Enumerated
Oct 12, 2006
Last Updated
Jul 25, 2007

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