Individual
MR. MARSHALL KEITH FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
3613 STONEHENGE CV N, BARTLETT, TN 38135-3088
(901) 377-2009
(901) 377-2009
Mailing address
3613 STONEHENGE CV N, BARTLETT, TN 38135-3088
(901) 377-2009
(901) 377-2009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5377
TN
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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