Individual
IKHAFA STEVE IRUEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3489 RAMILL RD, MEMPHIS, TN 38128-3328
(901) 372-8422
Mailing address
9805 KINGSRIDGE DR, LAKELAND, TN 38002-7490
(832) 661-5330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44564
TN
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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