Individual
KELLY LODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2100 LOWES DR, CLARKSVILLE, TN 37040-6688
(931) 906-3181
Mailing address
2100 LOWES DR, CLARKSVILLE, TN 37040-6688
(615) 218-3307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36789
TN
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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