Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Russell B Mantooth, PHARMD

Individual provider Pharmacist · NPI 1053400374

Dr. Russell B Mantooth, PHARMD is a Pharmacist in Blountville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

420 Woodway Dr
Blountville, TN 37617-5558
Phone: (423) 323-3047
Fax: (423) 542-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 8467 (TN)

Record details

NPI number1053400374
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESJuly 25, 2007

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