Individual
ALEXANDRIA ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1600 N JACKSON ST STE 340, TULLAHOMA, TN 37388-2471
(931) 408-6380
Mailing address
135 LINDA LN, TULLAHOMA, TN 37388-5409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48192
TN
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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