Individual
MARY SUSAN SPICELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
1051 S RIVERSIDE DR, CLARKSVILLE, TN 37040-4303
(931) 645-2494
(931) 551-8294
Mailing address
1051 S RIVERSIDE DR, CLARKSVILLE, TN 37040-4739
(931) 645-2494
(931) 551-8294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6967
TN
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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