Most Relevant Information
Provider Data
| NPI Number: | 1003287335 |
| Provider Name: | PENELOPE BLAND |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 0000039383 |
Most Important Dates
| Enumeration Date: | 10/13/2015 |
| Last Updated: | 10/13/2015 |
Provider Practice Location
1030 JEFFERSON AVE
MEMPHIS
TN
381042127
Practice Location Phone/Fax
| Phone: | 9015238990 |
| Fax: |
Provider Mailing Location
1030 JEFFERSON AVE
119
MEMPHIS
TN
381042127
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |