Individual provider · Type 1 NPI
Crystal Gail Mangrum, C.PH.T
Pharmacy Technician · Kingston Springs, TN
NPI number
1518019876
Active
Practice location
111 W. Kingston Springs Rd, Ste 103
Kingston Springs, TN 37082
Fax (615) 952-3692
Mailing address
PO Box 420
Bon Aqua, TN 37025-0420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy Technician Primary | 183700000X | 14104 (TN) |
Pharmacy Technician: A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
About NPI 1518019876
Crystal Gail Mangrum, C.PH.T's National Provider Identifier is 1518019876, issued on Jan 17, 2007. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in Kingston Springs, TN. The record was last updated on Jul 8, 2007.