Individual
MARIAH PAIGE MASSENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2682
Mailing address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
022819
KY
183500000X
Pharmacist
Primary
46251
TN
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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