Healthcare Provider Details

I. General information

NPI: 1871034983
Provider Name (Legal Business Name): SARAH A BOSWELL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 03/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2018 WESTERN AVE
KNOXVILLE TN
37921-5718
US

IV. Provider business mailing address

2018 WESTERN AVE
KNOXVILLE TN
37921-5718
US

V. Phone/Fax

Practice location:
  • Phone: 865-934-6723
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number35802
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: