Individual
MRS. MARY KOLB SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
305 SEABOARD LN, SUITE 318, FRANKLIN, TN 37067-8287
(888) 836-8821
(888) 836-8822
Mailing address
1692 AUTUMN PL, BRENTWOOD, TN 37027-3340
(615) 308-5314
(888) 836-8822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10290
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10290
PHARMACIST LICENSE NUMBER
TN
Enumeration date
05/10/2010
Last updated
05/10/2010
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