Individual
MRS. CAROL W. BAUCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
(901) 701-2500
Mailing address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
(901) 701-2500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6652
TN
Other
Enumeration date
03/18/2010
Last updated
04/13/2018
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