Individual provider · Type 1 NPI

Holly M. Mantooth, PharmD

Pharmacist · Bristol, TN

NPI number 1649575036 Active

Practice location

1 Medical Park Blvd
Bristol, TN 37620-7430

Call (423) 844-2855 Map

Fax (423) 844-2897

Mailing address

420 Woodway Dr
Blountville, TN 37617-5558

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X9074 (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 1649575036

Holly M. Mantooth, PharmD's National Provider Identifier is 1649575036, issued on Jan 17, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bristol, TN. The record was last updated on Jan 17, 2011.