Individual
GWEN MARGRAVE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
373 S ILLINOIS AVE, OAK RIDGE, TN 37830-6741
(865) 483-9825
Mailing address
P.O.BOX 234, HARRIMAN, TN 37748
(865) 882-1675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000003738
TN
183500000X
Pharmacist
RPH020800
GA
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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