Individual provider · Type 1 NPI

Kenneth Gene Souder, DPH

Pharmacist · Elizabethton, TN

NPI number 1508848235 Active

Practice location

402 Bemberg Rd
Elizabethton, TN 37643-2938

Fax (423) 534-5493

Mailing address

1525 Robin Hood Ln
Johnson City, TN 37604-3702

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X3344 (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…

2 other providers at this address

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About NPI 1508848235

Kenneth Gene Souder, DPH's National Provider Identifier is 1508848235, issued on Nov 17, 2005. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Elizabethton, TN. The record was last updated on Jul 13, 2026.