Individual
MRS. DEIDRA ROSE RUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
775 RANDLES RD, STRAWBERRY PLAINS, TN 37871-1153
(865) 932-4375
Mailing address
775 RANDLES RD, STRAWBERRY PLAINS, TN 37871-1153
(865) 932-4375
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10899
TN
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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