Individual
JEFFREY FAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6310 POPLAR AVE, MEMPHIS, TN 38119-4734
(901) 680-1907
Mailing address
6310 POPLAR AVE, MEMPHIS, TN 38119-4734
(901) 680-1907
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39478
TN
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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