Individual
LAUREN MASSENGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4680 POPLAR AVE, MEMPHIS, TN 38117-4402
(901) 683-2488
Mailing address
2997 CARNTON DR, GERMANTOWN, TN 38138-7345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34487
TN
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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