Individual provider · Type 1 NPI

Andrea Brooke Miracle, PHARM. D

Pharmacist · New Tazewell, TN

NPI number 1003193624 Active

Practice location

915 N Broad St
New Tazewell, TN 37825-6633

Fax (423) 626-5544

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X33135 (TN)
Pharmacist 183500000X014669 (KY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1003193624

Andrea Brooke Miracle, PHARM. D's National Provider Identifier is 1003193624, issued on Nov 10, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in New Tazewell, TN. The record was last updated on Nov 18, 2011.