Individual
LORI POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
627 GALLATIN PIKE S, MADISON, TN 37115-4012
(615) 865-0010
Mailing address
852 WALNUT ST, MADISON, TN 37115-4741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000025213
TN
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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