Individual
MRS. MARIE MIDDLECOFF STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
13092 N MAIN STREET, SUPER DRUGS, SOMERVILLE, TN 38068
(901) 465-9888
(901) 465-6906
Mailing address
9234 FLETCHER TRACE PKWY, LAKELAND, TN 38002-9201
(901) 371-0411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4348
TN
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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