Individual
DR. MICHAEL CORDOVA PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-8380
Mailing address
711 SIGNAL MOUNTAIN RD, PMB # 114, CHATTANOOGA, TN 37405-1823
(423) 658-5136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7243
TN
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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