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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL GAIL MANGRUM, C.PH.T

Active

CRYSTAL GAIL MANGRUM, C.PH.T is a Pharmacy Technician healthcare provider located in KINGSTON SPRINGS, Tennessee. NPI 1518019876 is currently active in the NPPES registry. Verify at CMS.

Pharmacy Technician · KINGSTON SPRINGS, TN

Registration Details

NPI Number
1518019876
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2007 (19.561793205312 yrs)
Last Updated
Jul 8, 2007
License
14104 (TN)

Practice Information

Address
111 W. KINGSTON SPRINGS RD
STE 103
KINGSTON SPRINGS, TN, 37082
Browse TN providers · Browse ZIP 37082
Phone
6159523690
Fax
6159523692
Primary Specialty
Pharmacy Technician
183700000X
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.