Individual
ALEXA JADE BAYLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
915 N BROAD ST, NEW TAZEWELL, TN 37825-6633
(423) 626-5511
Mailing address
915 N BROAD ST, NEW TAZEWELL, TN 37825-6633
(423) 626-5511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48178
TN
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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