Individual
DR. ASHLEE NICOLE CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
132 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-2535
(865) 471-0548
Mailing address
7369 LAKESHORE DR, RUTLEDGE, TN 37861-4801
(276) 337-0312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40705
TN
Other
Enumeration date
03/15/2020
Last updated
03/15/2020
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