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Individual

BAILEY UNIVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
430 E EMORY RD, POWELL, TN 37849-3517
(865) 947-5929
Mailing address
8431 GARDENSIDE LN, POWELL, TN 37849-5812
(719) 322-8758

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37849
TN

Other

Enumeration date
10/12/2015
Last updated
10/12/2015
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