Individual
MR. LUIS ENRIQUE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
8105 MOORES LN, BRENTWOOD, TN 37027-8020
(615) 636-8217
Mailing address
8105 MOORES LN, BRENTWOOD, TN 37027-8020
(615) 636-8217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
36977
FL
183500000X
Pharmacist
Primary
37125
TN
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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