Individual
CRISTY DIANE LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000033137
TN
Other
Enumeration date
03/23/2010
Last updated
08/21/2013
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