Individual
MRS. JAIME SUE THREADGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
110 N MARKET ST, CHATTANOOGA, TN 37405-3905
(423) 752-8104
Mailing address
1210 DUGDALE ST, CHATTANOOGA, TN 37405-3620
(423) 752-8418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5923
TN
1835G0303X
Geriatric Pharmacist
Primary
5923
TN
1835N1003X
Nutrition Support Pharmacist
5923
TN
1835P1200X
Pharmacotherapy Pharmacist
5923
TN
1835P1300X
Psychiatric Pharmacist
5923
TN
Other
Enumeration date
03/14/2007
Last updated
09/11/2025
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