Individual
KAYLA MARIE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2716 N CENTRAL AVE, HUMBOLDT, TN 38343-1560
(731) 784-0025
Mailing address
12 FRIARS POINT RD APT E, JACKSON, TN 38305-5326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42477
TN
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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