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Individual

ALEXIS CODINGTON AUTREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
2412 W STATE ST, BRISTOL, TN 37620-1836
(423) 764-3261
Mailing address
2412 W STATE ST, BRISTOL, TN 37620-1836

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000035465
TN
183500000X
Pharmacist
0202209930
VA
183500000X
Pharmacist
21494
NC

Other

Enumeration date
10/22/2011
Last updated
10/22/2011
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