Michael D Wasson
Pharmacist in Memphis, TN. Individual provider (NPI-1).
NPI number1407192560
StatusActive
Last updated in NPPESDec 18, 2012
Details
- NPI
- 1407192560
- Entity type
- Individual (NPI-1)
- Name
- Michael D Wasson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2012
- Last updated
- Dec 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 9587 | TN | Yes |
Practice location
800 Ridge Lake BlvdMemphis, TN 38120-9427
Phone 901-765-4157
Mailing address
800 Ridge Lake BlvdMemphis, TN 38120-9427
Phone 901-765-4157
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