Individual
DANIEL FOUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 S CONGRESS BLVD, SMITHVILLE, TN 37166-2019
(615) 597-4200
Mailing address
120 INVERNESS PL, SPARTA, TN 38583-4266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40288
TN
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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