EMILY PROVENCE

ATOKA, TN
NPI1063861938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: TN  6131)
Enumeration Date2016-06-10
Last Update Date2016-06-10
Business Address
-- EMILY PROVENCE
139 WESLEY REED DR SUITE F
ATOKA, TN 38004-4905
Phone number: 901-837-8801
Mailing Address
-- EMILY PROVENCE
8015 SODERLUND DR
MILLINGTON, TN 38053-5826
Phone number: 901-489-3582
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