Individual
ALEXA NOELLE DODSON BANCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 W MADISON AVE, ATHENS, TN 37303-4150
(423) 745-1411
Mailing address
1114 TOMAHAWK CIR NW, CLEVELAND, TN 37312-3462
(423) 284-9616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45131
TN
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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