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1063024222
LAKEN BUSH
SODDY DAISY, TN
NPI
1063024222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 0000041346)
Enumeration Date
2020-08-19
Last Update Date
2020-09-09
Business Address
LAKEN BUSH PHARMD
121 HARRISON LN
SODDY DAISY, TN 37379-4832
Phone number: 423-332-5124
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Mailing Address
LAKEN BUSH PHARMD
121 HARRISON LN
SODDY DAISY, TN 37379-4832
Phone number: 423-332-5124
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