Individual
AUSTIN DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 WAXWING DR, HERMITAGE, TN 37076-5616
(731) 514-6906
Mailing address
1302 WAXWING DR, HERMITAGE, TN 37076-5616
(731) 514-6906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45992
TN
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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