MEDICARE: MR. JOSEPH T HUNTSMAN RPH

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	273	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4419809	OTHER	TN	NCPDP

General Provider Information

NPI Number	:	1275676173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH T HUNTSMAN RPH

Provider Business Mailing Address
First Line	:	2106 E ANDREW JOHNSON HWY
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-5412
Country	:	US
Telephone Number	:	423-586-0721
Fax Number	:	423-587-5419

Provider Business Practice Location Address
First Line	:	2106 E ANDREW JOHNSON HWY
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-5412
Country	:	US
Telephone Number	:	423-586-0721
Fax Number	:	423-587-5419

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	07/09/2007

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