Individual
MISS ANNETTE YVONNE HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 E SHELBY DR, MEMPHIS, TN 38118-7256
(901) 900-4502
Mailing address
3333 E SHELBY DR, MEMPHIS, TN 38118-7256
(901) 900-4502
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000038926
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4442531
—
TN
Enumeration date
01/16/2013
Last updated
01/16/2013
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