Individual
ALEXANDRIA STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 N CENTRAL AVE, HUMBOLDT, TN 38343-1753
(731) 784-2613
Mailing address
146 UNION AVE, JACKSON, TN 38301-6102
(731) 413-0559
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45725
TN
Other
Enumeration date
02/12/2022
Last updated
02/12/2022
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