Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA BROOKE MIRACLE, PHARM. D
Active Sole ProprietorANDREA BROOKE MIRACLE, PHARM. D is a Pharmacist healthcare provider located in NEW TAZEWELL, Tennessee. NPI 1003193624 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · NEW TAZEWELL, TN
Registration Details
- NPI Number
- 1003193624
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2011 (14.748001689481 yrs)
- Last Updated
- Nov 18, 2011
- Licenses
-
33135 (TN)014669 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
915 N BROAD STNEW TAZEWELL, TN, 378256633Browse TN providers · Browse ZIP 37825
- Phone
- 4236265511
- Fax
- 4236265544
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in NEW TAZEWELL, TN
| Name | Credential | NPI |
|---|---|---|
| DR. DEREK VERLDON HICKS | PHARM D | 1467555094 |
| DR. KRISTIE L NOBLE | PHARM. D. | 1922152339 |
| MR. WILLIAM R STANIFER JR. | DPH | 1124155429 |
| RUSSELL ESSARY | PHARMD | 1275660318 |
| DONNA BULL MALONE | RPH | 1649308594 |
| DR. DETRA LYNN ROBERTSON | PHARM.D. | 1558490482 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.