Provider First Line Business Practice Location Address:
TUCKER PHARMACY
Provider Second Line Business Practice Location Address:
2415 FAIRVIEW BLVD
Provider Business Practice Location Address City Name:
FAIRVIEW
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37062-3706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-799-0691
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/03/2019