Individual
JODI SLATON GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
125 N 1ST ST, PULASKI, TN 38478-3214
(931) 363-2561
Mailing address
260 AYMETT RIDGE RD, PULASKI, TN 38478-7127
(931) 424-1955
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12144
TN
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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