Individual
JOYCE MARIE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1905 N JACKSON ST, STE. 500, TULLAHOMA, TN 37388-2200
(931) 454-0482
(931) 461-1191
Mailing address
1905 N JACKSON ST, STE. 500, TULLAHOMA, TN 37388-2200
(931) 454-0482
(931) 461-1191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000034109
TN
183500000X
Pharmacist
26018310A
IN
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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