Individual
KENNITA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
98 SEABOARD LN, BRENTWOOD, TN 37027-2930
(615) 493-1002
Mailing address
1008 SITTING BULL XING, MURFREESBORO, TN 37128-5111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000037886
TN
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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