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NPI Code Detail

MEDICARE: LISA BROWN MARTIN RPH

MEDICARE:   LISA BROWN MARTIN  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist22858TN
2183500000XPharmacist09888MS
3183500000XPharmacist10607KY

General Provider Information

NPI Number : 1003139684
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA BROWN MARTIN RPH
Provider Business Mailing Address
First Line : 1710 SHELBY OAKS DR N
Second Line : STE 1
City : MEMPHIS
State : TN
Zip : 38134-7403
Country : US
Telephone Number : 901-201-5468
Fax Number :
Provider Business Practice Location Address
First Line : 1710 SHELBY OAKS DR N
Second Line : STE 1
City : MEMPHIS
State : TN
Zip : 38134-7403
Country : US
Telephone Number : 901-201-5468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2010
Last Update Date : 05/31/2026

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Directions to “ LISA BROWN MARTIN RPH” Practice Location

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