Deleca Latrice Reynolds-Barnes
Pharmacist in Antioch, TN. Individual provider (NPI-1).
NPI number1013462001
StatusActive
Last updated in NPPESAug 18, 2016
Details
- NPI
- 1013462001
- Entity type
- Individual (NPI-1)
- Name
- Deleca Latrice Reynolds-Barnes
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2016
- Last updated
- Aug 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 10608 | TN | Yes |
Practice location
2401 Edge O Lake DrAntioch, TN 37013-5755
Phone 615-645-1892
Mailing address
2401 Edge O Lake DrAntioch, TN 37013-5755
Phone 615-645-1892
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