Individual
GLENISE AARONEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8046 MACON RD, CORDOVA, TN 38018-8531
(901) 753-1331
Mailing address
1846 S PARKWAY E, MEMPHIS, TN 38114-1911
(901) 672-3812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48529
TN
Other
Enumeration date
12/24/2024
Last updated
12/31/2024
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