Individual
DIANE BURTON SLAUGHTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
877 JEFFERSON AVE, MEDPLEX PHARMACY, MEMPHIS, TN 38103-2807
(901) 545-6299
(901) 545-8884
Mailing address
1296 E LIONS GATE CV, MEMPHIS, TN 38116-7813
(901) 332-3590
(901) 545-8884
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5063
TN
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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