Individual
DR. CELISA RUFUS BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1810 UNION AVE, MEMPHIS, TN 38104-3941
(901) 272-6191
(901) 272-6180
Mailing address
1810 UNION AVE, MEMPHIS, TN 38104-3941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122557
TN
Other
Enumeration date
09/07/2010
Last updated
09/09/2010
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