Individual
MARIKO THEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
65 N ARCADIAN CIR APT 303, MEMPHIS, TN 38103-6906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44198
TN
Other
Enumeration date
07/05/2020
Last updated
07/05/2020
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