Individual
MRS. CHARLOTTE CORKRAN ADCOCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
139 CHURCH ST, TIPTONVILLE, TN 38079-1374
(731) 253-7411
(731) 253-7304
Mailing address
145 KEYSTONE DR, TIPTONVILLE, TN 38079-4039
(731) 253-8919
(731) 253-7304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5449
TN
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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