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NPI Code Detail

MEDICARE: LAURA MICHELE CADLE PHARMD

MEDICARE: LAURA MICHELE CADLE PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist27819TN

General Provider Information

NPI Number : 1073104717
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA MICHELE CADLE PHARMD
Provider Business Mailing Address
First Line : 7341 TAZEWELL PIKE
Second Line :
City : CORRYTON
State : TN
Zip : 37721-3516
Country : US
Telephone Number : 865-219-6092
Fax Number : 865-219-8715
Provider Business Practice Location Address
First Line : 7341 TAZEWELL PIKE
Second Line :
City : CORRYTON
State : TN
Zip : 37721-3516
Country : US
Telephone Number : 865-219-6092
Fax Number : 865-219-8715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2021
Last Update Date : 01/26/2021

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Directions to “ LAURA MICHELE CADLE PHARMD” Practice Location

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