Individual
MRS. KIMBERLY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3515 PARK AVE, MEMPHIS, TN 38111-5621
(901) 458-1611
Mailing address
6809 SHOREY LN, CORDOVA, TN 38018-7917
(901) 484-5064
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000035876
TN
Other
Enumeration date
12/03/2011
Last updated
12/03/2011
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