Individual
CARLVIN JON M METRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1810 UNION AVE, MEMPHIS, TN 38104-3941
(901) 272-6191
Mailing address
1388 HARBOR PARK DR, MEMPHIS, TN 38103-9031
(619) 788-3407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41423
TN
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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