Individual
MS. JOY DEANNA BOROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
777 WASHINGTON AVE STE P005, MEMPHIS, TN 38105-4550
(901) 287-6050
Mailing address
777 WASHINGTON AVE STE P005, MEMPHIS, TN 38105-4550
(901) 287-6050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8623
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7645
STATE LICENSE NUMBER
AR
01
—
8623
STATE LICENSE NUMBER
TN
Enumeration date
07/13/2008
Last updated
07/13/2008
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