Individual
MARTINA KARAM AIAD NASRALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
312 E GAINES ST, LAWRENCEBURG, TN 38464-3532
(931) 762-6840
Mailing address
6849 HICKORY RIM CT, ANTIOCH, TN 37013-5690
(615) 608-8986
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43714
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43714
TENNESSEE BOARD OF PHARMACY
TN
Enumeration date
04/14/2020
Last updated
04/14/2020
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