Individual
DR. BERNARD KEVIN LACOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
9016 RIVER KNOLL DR, CORDOVA, TN 38016-0687
(901) 624-5606
Mailing address
9016 RIVER KNOLL DR, CORDOVA, TN 38016-0687
(901) 624-5606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8174
TN
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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