Individual
ELIZABETH FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N MARKET ST, CHATTANOOGA, TN 37405-3905
(423) 752-8104
Mailing address
110 N MARKET ST, CHATTANOOGA, TN 37405-3905
(423) 752-8104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000042480
TN
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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