Individual
COLLIN AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HUNTSVILLE HWY, FAYETTEVILLE, TN 37334
(931) 433-5569
Mailing address
1000 HUNTSVILLE HWY, FAYETTEVILLE, TN 37334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
21331
AL
183500000X
Pharmacist
Primary
43170
TN
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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