Individual
C. DOUGLAS PRENTICE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2600 MEMORIAL BOULEVARD, SPRINGFIELD, TN 37172
(615) 382-9844
(615) 212-0758
Mailing address
2600 MEM. BOULEVARD, SPRINGFIELD, TN 37172
(615) 382-9844
(615) 212-0758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6226
TN
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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