Individual
ANNACA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6802 LEE HWY, CHATTANOOGA, TN 37421-2444
(423) 899-1186
Mailing address
6802 LEE HWY, CHATTANOOGA, TN 37421-2444
(423) 899-1186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40638
TN
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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