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Individual

ANNE W DEATHERIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
201 SMYTHE ST, APT 304, GREENVILLE, SC 29611-3567
(615) 830-5715
Mailing address
2415 FAIRVIEW BLVD, FAIRVIEW, TN 37062-9078
(615) 799-0691

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14311
TN

Other

Enumeration date
08/29/2013
Last updated
01/03/2022
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