Healthcare Provider Details

I. General information

NPI: 1982999660
Provider Name (Legal Business Name): GEORGE CHALMERS YOUNG III PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2011
Last Update Date: 06/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14978 RANKIN AVE
DUNLAP TN
37327-7006
US

IV. Provider business mailing address

8246 MILL RACE DR
OOLTEWAH TN
37363-6844
US

V. Phone/Fax

Practice location:
  • Phone: 423-949-4049
  • Fax: 423-949-6850
Mailing address:
  • Phone: 423-238-3470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9888
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: