MEDICARE: DR. JOSEPH MOSELEY NOWELL JR. PHARM D, FACA, FACVP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0000009583	TN

General Provider Information

NPI Number	:	1053376319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH MOSELEY NOWELL JR. PHARM D, FACA, FACVP

Provider Business Mailing Address
First Line	:	P. O. BOX 1036
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-1036
Country	:	US
Telephone Number	:	865-988-0000
Fax Number	:	865-986-1542

Provider Business Practice Location Address
First Line	:	721 HIGHWAY 321 N SUITE 2
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-5003
Country	:	US
Telephone Number	:	865-988-0000
Fax Number	:	865-986-1542

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	08/08/2019

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