Individual
LISA ANN CAVINESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(931) 431-2800
Mailing address
1169 UNION AVE APT 251, MEMPHIS, TN 38104-6675
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
0000044179
TN
Other
Enumeration date
05/26/2021
Last updated
03/14/2024
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