Individual
DURAND DALE MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8046 MACON RD, CORDOVA, TN 38018-8531
(901) 753-1331
Mailing address
1542 PATINA DR, COLLIERVILLE, TN 38017-4519
(901) 605-0520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47447
TN
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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