Individual
IRINA WESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 S WILLOW AVE, COOKEVILLE, TN 38501-3139
(931) 528-1565
Mailing address
1355 PILOT DR, COOKEVILLE, TN 38506-4207
(931) 349-7568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36291
TN
Other
Enumeration date
05/26/2014
Last updated
05/26/2014
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