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Individual

ANAVICE J JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
330 FRANKLIN RD, BRENTWOOD, TN 37027-3280
(615) 373-3533
Mailing address
548 LINCOLN DR, GALLATIN, TN 37066-2129
(615) 681-8338

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0012693
OR
183500000X
Pharmacist
Primary
45657
TN

Other

Enumeration date
09/21/2017
Last updated
10/25/2021
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