Individual
BRIAN STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4625 SUMMER AVE, MEMPHIS, TN 38122-4137
(901) 684-1026
Mailing address
4625 SUMMER AVE, MEMPHIS, TN 38122-4137
(901) 684-1026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37015
TN
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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