Roark, Terry
Roark, Terry is an individual health care provider with primary practice located at 19118 Alberta St , Oneida TN 37841-6003. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Roark, Terry 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 7423 | Tennessee |
Profile Details
| NPI number | 1992874382 |
|---|---|
| LBN Legal business name | Roark, Terry |
| Credentials | Doctor of Public Health (DPH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992874382 | NPPES |
| Tennessee | Other | 7423 | PHARMACIST LICENSE NUMBER |
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