Individual
AMY ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 WESTSIDE DR, TULLAHOMA, TN 37388-3253
(931) 455-5409
Mailing address
106 NANNIE OLA CT, LASCASSAS, TN 37085-4643
(931) 409-5965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40261
TN
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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