Individual
ANDREA GRACE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4576 POPLAR AVE, MEMPHIS, TN 38117-7502
(901) 701-7010
Mailing address
7255 HIGHWAY 57, COUNCE, TN 38326-3430
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
47463
TN
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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