Individual
KIMBERLY P RUSCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7735 FARMINGTON BLVD, GERMANTOWN, TN 38138-2901
(901) 754-7864
(901) 758-3632
Mailing address
1036 RUSSELL FARMS RD, COLLIERVILLE, TN 38017-5800
(901) 672-2684
(901) 758-3632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8134
TN
183500000X
Pharmacist
T-010468
MS
Other
Enumeration date
11/01/2010
Last updated
08/26/2016
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