Individual
ALLE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 COMMONS DR, MARTIN, TN 38237-3879
(731) 587-9509
Mailing address
116 COMMONS DR, MARTIN, TN 38237-3879
(731) 587-9509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46357
TN
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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