Individual
GERALD ODAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
365 NEW SHACKLE ISLAND RD, HENDERSONVILLE, TN 37075-2328
(615) 826-1323
Mailing address
365 NEW SHACKLE ISLAND RD, HENDERSONVILLE, TN 37075-2328
(615) 826-1323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000010717
TN
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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