Individual
DR. MACKENZIE GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2500 GALLATIN AVE, NASHVILLE, TN 37206-3216
(615) 226-7591
Mailing address
1003 W GREENWOOD AVE, NASHVILLE, TN 37206-3432
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
36829
TN
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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