Individual
LAKEN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
121 HARRISON LN, SODDY DAISY, TN 37379-4832
(423) 332-5124
Mailing address
121 HARRISON LN, SODDY DAISY, TN 37379-4832
(423) 332-5124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000041346
TN
Other
Enumeration date
08/19/2020
Last updated
09/09/2020
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