Individual
LESLIE N AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4625 SUMMER AVE, MEMPHIS, TN 38122-4137
(901) 684-1026
Mailing address
2110 DEERWOODS CV, GERMANTOWN, TN 38139-5622
(901) 355-5910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5240
TN
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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