Individual
ANGELA MI POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 UNION AVE, MEMPHIS, TN 38104-4233
(901) 274-4085
Mailing address
3200 BRAMBLEWOOD CV, SOUTHAVEN, MS 38672-8729
(850) 445-8503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9052
TN
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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