Individual
CHANTEAL LAQUITA BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4015 AUSTIN PEAY HWY, MEMPHIS, TN 38128-2503
(901) 373-4575
Mailing address
6333 RAIBLE DR, MILLINGTON, TN 38053-3672
(901) 581-9321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47525
TN
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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