Healthcare Provider Details
I. General information
NPI: 1538138045
Provider Name (Legal Business Name): JOSEPH STEPHEN SAFFLES D.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 03/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
510 S MAIN ST
SWEETWATER TN
37874-2705
US
IV. Provider business mailing address
945 OOSTANAULA RD
SWEETWATER TN
37874-6777
US
V. Phone/Fax
- Phone: 423-337-7933
- Fax: 423-337-2806
- Phone: 423-337-9643
- Fax: 423-337-2806
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 4541 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835N1003X |
| Taxonomy | Nutrition Support Pharmacist |
| License Number | 4541 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: