Individual
LATRICE BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2004 MCCALLIE AVE, CHATTANOOGA, TN 37404-3139
(423) 622-2545
Mailing address
2004 MCCALLIE AVE, CHATTANOOGA, TN 37403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000035852
TN
Other
Enumeration date
05/09/2012
Last updated
06/21/2012
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