Individual
MCKENZIE MCINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N MAIN ST, SHELBYVILLE, TN 37160-2308
(931) 684-7104
Mailing address
3625 MANSON PIKE UNIT 3202, MURFREESBORO, TN 37129-4124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37369
TN
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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