IndividualActive
Brandie Ketron, PHARMD
NPI 1366067795 · Pharmacotherapy Pharmacist · Johnson City, TN
Provider details
- NPI number
- 1366067795
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 41236 (TN)
Practice location
301 Med Tech Pkwy Ste 240
Johnson City, TN 37604-2641
Phone: (423) 794-5520
Fax: (423) 282-6940
Mailing address
Po Box 632476
Cincinnati, OH 45263-2476
Registry dates
- Enumerated
- 2020-06-11
- Last updated
- 2025-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.