Individual provider · Type 1 NPI

Molly Marie Ketron, PharmD

Pharmacist · Johnson City, TN

NPI number 1053930420 Active

Practice location

5104 Bobby Hicks Hwy
Johnson City, TN 37615-6217

Mailing address

2112 Malvern Ct
Kingsport, TN 37660-5084

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X0202217047 (VA)
Pharmacist Primary 183500000X42260 (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 1053930420

Molly Marie Ketron, PharmD's National Provider Identifier is 1053930420, issued on Apr 15, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Johnson City, TN. The record was last updated on Apr 15, 2020.