Individual
KERILLOS GENDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2909 MURFREESBORO PIKE, ANTIOCH, TN 37013-2227
(615) 366-4280
Mailing address
1380 ROCKGLADE RUN, ANTIOCH, TN 37013-3077
(615) 627-6814
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46501
TN
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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