Individual provider · Type 1 NPI
Russell B. Mantooth, PharmD
Pharmacist · Blountville, TN
Practice location
420 Woodway Dr
Blountville, TN 37617-5558
Fax (423) 542-1220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 8467 (TN) |
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 1053400374
Russell B. Mantooth, PharmD's National Provider Identifier is 1053400374, issued on Oct 12, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Blountville, TN. The record was last updated on Jul 25, 2007.