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Individual

MS. MARTHA JANE SHEPARD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.PH.

Contact information

Practice address
7723 CLEARVIEW CHURCH LN, LYLES, TN 37098-1609
(931) 670-6035
Mailing address
204 MCCREARY HTS, DICKSON, TN 37055-1217
(615) 446-9782

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
686
TN

Other

Enumeration date
08/19/2005
Last updated
07/08/2007
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