Andrea Miracle, PHARM. D

NPI 1003193624 · on the registry since 2011 · sole proprietor

Practice

Address: 915 N Broad St
New Tazewell, TN 37825
Phone: (423) 626-5511
Fax: (423) 626-5544
Organisation at this address: Peytliv Inc
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Pharmacist
183500000X
Also registered as: Pharmacist
Licence states on file: TN, KY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee