Individual
DR. JAPONICA GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1359 POPLAR AVE, MEMPHIS, TN 38104-2007
(901) 276-5491
Mailing address
1359 POPLAR AVE, MEMPHIS, TN 38104-2007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41519
TN
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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