Healthcare Provider Details

I. General information

NPI: 1104422393
Provider Name (Legal Business Name): ANTHONY SHAUN ROWE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2020
Last Update Date: 12/11/2020
Certification Date: 12/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ALCOA HWY # 117
KNOXVILLE TN
37920-1511
US

IV. Provider business mailing address

1924 ALCOA HWY # 117
KNOXVILLE TN
37920-1511
US

V. Phone/Fax

Practice location:
  • Phone: 865-946-3413
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number12993
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: