Individual
LAREASA LEATHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4642 QUINCE RD, MEMPHIS, TN 38117-6547
(901) 685-9368
(901) 681-0191
Mailing address
4642 QUINCE RD, MEMPHIS, TN 38117-6547
(901) 685-9368
(901) 681-0191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13214
TN
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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