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Individual

DEREK HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3515 PARK AVE, MEMPHIS, TN 38111-5621
(901) 458-1611
Mailing address
3515 PARK AVE, MEMPHIS, TN 38111-5621
(901) 458-1611

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42051
TN

Other

Enumeration date
04/12/2021
Last updated
04/12/2021
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