Individual
NANCY FUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 E COLLEGE ST STE 102, DICKSON, TN 37055-1832
(615) 682-8472
(615) 988-6970
Mailing address
9115 AUSTIN LN, LYLES, TN 37098-1584
(615) 351-0062
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
24982
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NONE
—
Enumeration date
06/21/2017
Last updated
06/21/2017
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