WADE GILREATH

HIXSON, TN
NPI1063765642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TN  9837)
Additional Taxonomies183500000X Pharmacist
(Licence: GA  19113)
Enumeration Date2012-10-19
Last Update Date2012-10-19
Business Address
-- WADE GILREATH
5380 HIGHWAY 153
HIXSON, TN 37343-4946
Phone number: 423-870-8562
Mailing Address
-- WADE GILREATH
228 E TENNANT CIR
CHICKAMAUGA, GA 30707-1611
Phone number: 423-309-9233
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