Most Relevant Information
Provider Data
| NPI Number: | 1003640566 |
| Provider Name: | SAM GATES RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 48139 |
Most Important Dates
| Enumeration Date: | 08/28/2024 |
| Last Updated: | 08/28/2024 |
Provider Practice Location
121 N NORTHSHORE DR
KNOXVILLE
TN
379194048
Practice Location Phone/Fax
| Phone: | 8655886755 |
| Fax: |
Provider Mailing Location
273 CREEKWOOD COVE LN APT 4B
LENOIR CITY
TN
377726460
Provider Mailing Phone/Fax
| Phone: | 8586058102 |
| Fax: |