Roark, Mary Ann

Roark, Mary Ann is an individual health care provider with primary practice located at 19118 Alberta St , Oneida TN 37841-6003. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Roark, Mary Ann can be contacted via phone (423) 569-9000.

Contact Information

Primary practice address
19118 Alberta St Oneida TN 37841-6003
Phone: (423) 569-9000
Fax: (423) 569-2402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 7478 Tennessee
Pharmacy Service Providers / Pharmacist 183500000X 010025 Kentucky
Pharmacy Service Providers / Pharmacist 183500000X PS 19818 Florida

Profile Details

NPI number 1922170166
LBN Legal business name Roark, Mary Ann
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922170166 NPPES
Tennessee Other 7478 PHARMACIST LIC NUMBER

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