Individual
DR. LAWANDA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1366 POPLAR AVE, MEMPHIS, TN 38104-2008
(901) 272-7883
Mailing address
1366 POPLAR AVE, MEMPHIS, TN 38104-2008
(901) 272-7883
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40653
TN
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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