Individual
MR. MARK C OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
1205 NOELTON LN # B, NASHVILLE, TN 37215-1627
(615) 386-9888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS37161
FL
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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