Individual
THOMASINA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
718 MELROSE AVE, NASHVILLE, TN 37211-2151
(615) 343-1801
(615) 242-1151
Mailing address
1408 MONTGOMERY AVE, NASHVILLE, TN 37207-5215
(615) 891-8599
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
21166
TN
Other
Enumeration date
04/21/2020
Last updated
06/03/2020
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