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NPI Code Detail

MEDICARE: DR. DUSTIN HANCHOCK PHARM D.

MEDICARE: DR. DUSTIN HANCHOCK PHARM D.
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
1183500000XPharmacist28471TN

General Provider Information

NPI Number : 1093048498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUSTIN HANCHOCK PHARM D.
Provider Business Mailing Address
First Line : 1805 W STATE OF FRANKLIN RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-8801
Country : US
Telephone Number : 423-929-1409
Fax Number : 423-929-1442
Provider Business Practice Location Address
First Line : 1805 W STATE OF FRANKLIN RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-8801
Country : US
Telephone Number : 423-929-1409
Fax Number : 423-929-1442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2009
Last Update Date : 12/27/2010

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