Individual
MRS. DOROTHY HAMLET MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8069
Mailing address
1203 WILLOW BEND DR, CLARKSVILLE, TN 37043-1711
(931) 552-6556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009406
KY
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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