Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA VERSACE FORTNER, PHARMD
ActiveMIRANDA VERSACE FORTNER, PHARMD is a Pharmacist healthcare provider located in MARYVILLE, Tennessee. NPI 1528744307 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · MARYVILLE, TN
Registration Details
- NPI Number
- 1528744307
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2023 (3.1156772806808 yrs)
- Last Updated
- Jun 26, 2023
- License
-
47235 (TN)
Practice Information
- Address
-
220 FOOTHILLS MALL DRIVEMARYVILLE, TN, 37801Browse TN providers · Browse ZIP 37801
- Phone
- 8653797899
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in MARYVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| DR. JASON D HUTCHENS | PHARM.D. | 1528047065 |
| MR. RANDAL SCOTT JENKINS | PHARM.D | 1104858828 |
| MR. PHILLIP KEITH LAFOY | D.PH. | 1962414995 |
| MR. DAVID LEWIS FARMER | RPH | 1275639296 |
| ANTHONY PAUL LONG | RPH | 1366534265 |
| EDWIN TERRY WEBB | DPH | 1336234848 |
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.