Provider Demographics
NPI:1083082663
Name:RHOTEN, AUSTIN CRAIG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:CRAIG
Last Name:RHOTEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-5454
Mailing Address - Country:US
Mailing Address - Phone:423-979-2200
Mailing Address - Fax:
Practice Address - Street 1:840 W MARKET ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-5454
Practice Address - Country:US
Practice Address - Phone:423-979-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-13
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25279183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist