Individual
KALEB LYDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
240 NEW BYHALIA RD, COLLIERVILLE, TN 38017-3716
(901) 853-1331
Mailing address
3573 PHILWOOD AVE, MEMPHIS, TN 38122-4557
(423) 991-9536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
21438
AL
183500000X
Pharmacist
Primary
44242
TN
Other
Enumeration date
11/24/2020
Last updated
08/26/2021
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