Individual
HOLLIE JOHNSON GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
310 BLUFF CITY HWY, BRISTOL, TN 37620-4602
(423) 764-4136
(423) 764-5167
Mailing address
310 BLUFF CITY HWY, BRISTOL, TN 37620-4602
(423) 764-4136
(423) 764-5167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35965
TN
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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