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Individual

JORDAN SOUMAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2115 UNION AVE, MEMPHIS, TN 38104-4233
(443) 903-0080
Mailing address
2115 UNION AVE, MEMPHIS, TN 38104-4233
(901) 274-4085

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45187
TN

Other

Enumeration date
10/07/2021
Last updated
10/07/2021
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