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Dr. Russell B Mantooth, PHARMD
Pharmacist in Blountville, Tennessee
NPI 1053400374

Russell B Mantooth is a Pharmacist based in Blountville, TN. Russell B Mantooth practices in Blountville, TN and has the professional credentials of PHARMD. The NPI Number for Russell B Mantooth is 1053400374 and holds a License No. 8467 (Tennessee).

The current practice location address for Russell B Mantooth is 420 Woodway Dr, Blountville, TN and can be reached out via phone at 423-323-3047 and via fax at 423-542-1220.

Location: 420 Woodway Dr, Blountville, TN, 37617-5558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053400374
Provider Name
Russell B Mantooth
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
420 Woodway Dr, Blountville, TN, 37617-5558
Phone Number
423-323-3047
Fax Number
423-542-1220
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
420 Woodway Dr
City
Blountville
State
Tennessee
Zip
37617-5558
Phone Number
423-323-3047
Fax Number
423-542-1220
person
Provider Business Mailing Address Details
Address
420 Woodway Dr
City
Blountville
State
Tennessee
Zip
37617-5558
Phone Number
423-323-3047
Fax Number
423-542-1220
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
8467 (Tennessee)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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