Individual
ADALIS LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
Mailing address
2650 EMERALD WAY DR, HERNANDO, MS 38632-6116
(662) 671-0072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47440
TN
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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