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1558071373
AUSTIN BLAKE FULWOOD
MEMPHIS, TN
NPI
1558071373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 43362)
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
DR. AUSTIN BLAKE FULWOOD PHARMD
880 MADISON AVE
MEMPHIS, TN 38103-3409
Phone number: 901-545-7970
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Mailing Address
DR. AUSTIN BLAKE FULWOOD PHARMD
10233 EVERGREEN MANOR CV
LAKELAND, TN 38002-1080
Phone number:
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