Individual
ALYSSA NICOLE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1427 W BADDOUR PKWY STE B, LEBANON, TN 37087-3062
(615) 449-3355
Mailing address
4024 SUNNINGHILL DR, OLD HICKORY, TN 37138-0634
(412) 298-2217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46768
TN
Other
Enumeration date
10/10/2022
Last updated
08/22/2023
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