Individual
LINDA J DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
337 S CUMBERLAND ST, LEBANON, TN 37087-3605
(615) 449-6190
(615) 449-6208
Mailing address
337 S CUMBERLAND ST, LEBANON, TN 37087-3605
(615) 449-6190
(615) 449-6208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000009034
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000009034
STATE LICENSE
TN
Enumeration date
11/27/2006
Last updated
07/08/2007
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