Individual
ELVIRA BERDENNICOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
143 MORTON MILL CIR, NASHVILLE, TN 37221-6717
(813) 394-0749
Mailing address
143 MORTON MILL CIR, NASHVILLE, TN 37221-6717
(813) 394-0749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000037085
TN
Other
Enumeration date
08/03/2014
Last updated
08/03/2014
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