Individual
MRS. KIMBERLY KAY BLOSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
3712 HIGHWAY 13 S, WAVERLY, TN 37185-2935
(931) 296-2639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6758
TN
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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