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NPI Code Detail

MEDICARE: KATRINA DEBUSK

MEDICARE: KATRINA DEBUSK
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
1183500000XPharmacist5645TN

General Provider Information

NPI Number : 1407356496
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA DEBUSK
Provider Business Mailing Address
First Line : 3339 WHISPERING OAKS DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37938-4061
Country : US
Telephone Number : 865-922-9819
Fax Number :
Provider Business Practice Location Address
First Line : 3051 KINZEL WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37924-2190
Country : US
Telephone Number : 865-544-0120
Fax Number : 865-544-0026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2018
Last Update Date : 02/15/2018

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