Individual
MAIYA K PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3670 RIVERDALE RD, MEMPHIS, TN 38115-5400
(901) 309-2621
Mailing address
5343 PHILGROVE WAY, MEMPHIS, TN 38125-4138
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000047372
TN
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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