MR. William Russell Pevahouse, DPH

NPI #1073835369 in Dickson, Tennessee

Provider Information

NPI Number
1073835369
Entity Type
Individual
Name
MR. William Russell Pevahouse, DPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
DPH
Enumeration Date
Feb 27, 2010
Last Updated
Feb 27, 2010

Practice Location

Address
301 HENSLEE DR
ZIP Code
37055-2050
Phone
(615) 446-7485

Specialties & Taxonomy Codes

Specialty
Pharmacist

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