Individual
ABBY BOMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 MIDDLE RD, FULTON, KY 42041-7905
(270) 472-1426
Mailing address
720 OLD SPRINGVILLE RD, SPRINGVILLE, TN 38256-4928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48163
TN
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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