Individual
LAUREN S BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
137 S MAIN ST, DYER, TN 38330-1815
(731) 692-3578
Mailing address
239 HIGH ST, DYER, TN 38330-2005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43290
TN
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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