Healthcare Provider Details

I. General information

NPI: 1285628115
Provider Name (Legal Business Name): RONALD NOLAN SHERRILL D.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 11/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3218 MORRIS AVE
KNOXVILLE TN
37909-1527
US

IV. Provider business mailing address

3218 MORRIS AVE
KNOXVILLE TN
37909-1527
US

V. Phone/Fax

Practice location:
  • Phone: 865-525-4886
  • Fax: 865-525-5395
Mailing address:
  • Phone: 865-540-1002
  • Fax: 865-525-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberC3909
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: