Miracle, Andrea Brooke

Miracle, Andrea Brooke is an sole proprietor health care provider with primary practice located at 915 N Broad St , New Tazewell TN 37825-6633. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Miracle, Andrea Brooke can be contacted via phone (423) 626-5511.

Contact Information

Primary practice address
915 N Broad St New Tazewell TN 37825-6633
Phone: (423) 626-5511
Fax: (423) 626-5544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 33135 Tennessee
Pharmacy Service Providers / Pharmacist 183500000X 014669 Kentucky

Profile Details

NPI number 1003193624
LBN Legal business name Miracle, Andrea Brooke
Credentials PHARM. D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2011
Last updated Nov 18th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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