Individual
KAREN SUDDARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1655 W COLLEGE ST, PULASKI, TN 38478-5207
(931) 424-5584
(931) 424-9534
Mailing address
1655 W COLLEGE ST, PULASKI, TN 38478-5207
(931) 424-5584
(931) 424-9534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12169
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12169
TN STATE BOARD OF PHARMACY
TN
Enumeration date
01/25/2018
Last updated
01/25/2018
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