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NPI Code Detail

MEDICARE: ROLA MOUSA FRANKS PHARMD

MEDICARE: ROLA MOUSA FRANKS PHARMD
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist36126TN

General Provider Information

NPI Number : 1992075022
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROLA MOUSA FRANKS PHARMD
Provider Business Mailing Address
First Line : 468 JOHN CARSON RD
Second Line :
City : TELFORD
State : TN
Zip : 37690-2222
Country : US
Telephone Number : 770-826-7483
Fax Number :
Provider Business Practice Location Address
First Line : 300 MED TECH PKWY
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-2277
Country : US
Telephone Number : 423-302-1087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2012
Last Update Date : 01/05/2012

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Directions to “ ROLA MOUSA FRANKS PHARMD” Practice Location

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