Individual
LAURA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2232 GALLATIN PIKE N, MADISON, TN 37115-2006
(615) 859-7212
Mailing address
2232 GALLATIN PIKE N, MADISON, TN 37115-2006
(615) 859-6216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
38977
TN
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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