Individual
CASSIE LAUREL COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
150 E SWAN ST, CENTERVILLE, TN 37033-1446
(931) 729-6798
(931) 729-6799
Mailing address
150 E SWAN ST, CENTERVILLE, TN 37033-1446
(931) 729-6798
(931) 729-6799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35983
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35983
TN PHARMACIST LICENSE NO.
TN
Enumeration date
03/18/2013
Last updated
09/26/2019
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