Individual
LYDIA DARLENE GAYDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
69 DOGWOOD AVE, JAMES H. QUILLEN VA MEDICAL CENTER, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
PO BOX 4000, JAMES H. QUILLEN VA MEDICAL CENTER, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03330841
OH
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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