Individual
MRS. KIMBERLY BRASSEAL LABAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
11272 HIGHWAY 57, COUNCE, TN 38326-3802
(731) 689-0223
(731) 689-0253
Mailing address
11272 HIGHWAY 57, COUNCE, TN 38326-3802
(731) 689-0223
(731) 689-0253
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27208
TN
183500000X
Pharmacist
E-010107
MS
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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