Healthcare Provider Details

I. General information

NPI: 1295347367
Provider Name (Legal Business Name): DUSTIN CRAIG PARROTT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7425 TAZEWELL PIKE
CORRYTON TN
37721-3532
US

IV. Provider business mailing address

7425 TAZEWELL PIKE
CORRYTON TN
37721-3532
US

V. Phone/Fax

Practice location:
  • Phone: 865-232-1811
  • Fax: 865-232-1817
Mailing address:
  • Phone: 865-232-1811
  • Fax: 865-232-1817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0000039492
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: