Most Relevant Information
Provider Data
| NPI Number: | 1396748323 |
| Provider Name: | LAURA IVEY CAMPBELL PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 10205 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 11/21/2018 |
Provider Practice Location
272 HIGHWAY 11 E
BULLS GAP
TN
37711
Practice Location Phone/Fax
| Phone: | 4232356263 |
| Fax: | 4232354792 |
Provider Mailing Location
411 DERBYSHIRE CT
MORRISTOWN
TN
378141084
Provider Mailing Phone/Fax
| Phone: | 4235879344 |
| Fax: |