Individual
GARY DEAN HAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 BROAD ST, CHATTANOOGA, TN 37409-1026
(423) 267-5088
Mailing address
9017 CRYSTAL BROOK DR, APISON, TN 37302-7518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
25214
TN
183500000X
Pharmacist
Primary
5458
AZ
Other
Enumeration date
10/22/2011
Last updated
10/22/2011
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