Provider Demographics
NPI:1013291673
Name:HOUSEWRIGHT, DENISE B (PHARMD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:B
Last Name:HOUSEWRIGHT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 HILL AVE
Mailing Address - Street 2:
Mailing Address - City:SURGOINSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37873-3140
Mailing Address - Country:US
Mailing Address - Phone:865-228-3935
Mailing Address - Fax:
Practice Address - Street 1:1420 W STONE DR
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-2522
Practice Address - Country:US
Practice Address - Phone:423-246-3551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26608183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist