Individual
MADONNA BOTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1215 21ST AVE S, NASHVILLE, TN 37232-0014
(615) 322-0804
Mailing address
1215 21ST AVE S, NASHVILLE, TN 37232-0014
(615) 322-0804
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45100
TN
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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