Individual
KRISTIN NICOLE MICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
483 W BOCKMAN WAY, SPARTA, TN 38583
(931) 836-3230
Mailing address
483 W BOCKMAN WAY, SPARTA, TN 38583
(931) 836-3230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43954
TN
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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