Individual
GEORGE BOUTROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
824 W POPLAR AVE, COLLIERVILLE, TN 38017-2579
(901) 853-3714
Mailing address
221 WATAUGA PL, BRENTWOOD, TN 37027-4450
(615) 438-8380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
38662
TN
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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