Individual
KEVIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35919
TN
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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