Search › Tennessee › 183500000X
Russell Mantooth, PHARMD
NPI 1053400374 · on the registry since 2006
Practice
- Address
- 420 Woodway Dr
Blountville, TN 37617 - Phone
- (423) 323-3047
- Fax
- (423) 542-1220
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-25
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