Individual
DESIREE SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1910 CHURCH ST STE 100, NASHVILLE, TN 37203-2256
(615) 645-4790
(615) 645-4791
Mailing address
1910 CHURCH ST STE 100, NASHVILLE, TN 37203-2256
(615) 645-4790
(615) 645-4791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43209
TN
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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