Individual
GINA PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(484) 905-2305
Mailing address
1922 WALWORTH CT, GERMANTOWN, TN 38138-3626
(484) 905-2305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48035
TN
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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