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1063794758
LACY WADE
MEMPHIS, TN
NPI
1063794758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 34301)
Enumeration Date
2011-09-19
Last Update Date
2011-09-19
Business Address
Dr. LACY WADE
3381 POPLAR AVE
MEMPHIS, TN 38111-4601
Phone number: 901-458-8559
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Mailing Address
Dr. LACY WADE
3381 POPLAR AVE
MEMPHIS, TN 38111-4601
Phone number: 901-458-8559
Copy
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