Healthcare Provider Details

I. General information

NPI: 1396292629
Provider Name (Legal Business Name): CHASE ARMS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CHASEN ARMS

II. Dates (important events)

Enumeration Date: 09/02/2016
Last Update Date: 09/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 ANDREW JOHNSON HWY
STRAWBERRY PLAINS TN
37871-1015
US

IV. Provider business mailing address

524 ANDREW JOHNSON HWY
STRAWBERRY PLAINS TN
37871-1015
US

V. Phone/Fax

Practice location:
  • Phone: 865-933-4149
  • Fax: 865-933-4037
Mailing address:
  • Phone: 865-933-4149
  • Fax: 865-933-4037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number39207
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: