Individual
CAITLYN GRACE RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
116 OCOEE ST, COPPERHILL, TN 37317-4071
(423) 496-5241
Mailing address
103 QUALLS DR, BENTON, TN 37307-5852
(423) 813-9656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48044
TN
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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