Individual
ELIZABETH MICHELE PENDERGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(931) 446-4403
Mailing address
378 OLD COLUMBIA RD, UNIONVILLE, TN 37180-8568
(931) 446-4403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47128
TN
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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