Healthcare Provider Details

I. General information

NPI: 1841572799
Provider Name (Legal Business Name): MATTHEW STERNTHAL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2011
Last Update Date: 09/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 GLENSPRINGS DR
KNOXVILLE TN
37922-5227
US

IV. Provider business mailing address

1032 GLENSPRINGS DR
KNOXVILLE TN
37922-5227
US

V. Phone/Fax

Practice location:
  • Phone: 865-908-8755
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number29564
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: