Individual
KRISTI MAXWEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4120 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-8029
(615) 773-8704
Mailing address
4120 NORTH MT JUIET ROAD, KROGER PHARMACY, MOUNT JULIET, TN 37122-4622
(615) 773-8704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9765
TN
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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