Individual
CASEY OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
114 E MAIN ST, RUTHERFORD, TN 38369-9711
(731) 665-6176
(731) 665-6786
Mailing address
114 E MAIN ST, P.O. BOX 279, RUTHERFORD, TN 38369-9711
(731) 665-6176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000040392
TN
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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