Individual
LAUREN APRIL STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
129 W MAIN ST, MOUNTAIN CITY, TN 37683-1307
(423) 727-6501
(423) 727-9500
Mailing address
902 NOAH SNYDER RD, MOUNTAIN CITY, TN 37683-5531
(423) 895-1234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000036021
TN
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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