Individual
JEEWAR M KOKOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD,BCPS,BCACP
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
2000 SHAYLIN LOOP, ANTIOCH, TN 37013-8406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
44154
TN
1835P1200X
Pharmacotherapy Pharmacist
44154
TN
1835P2201X
Ambulatory Care Pharmacist
Primary
44154
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R61351458
BLUECROSS BLUESHIELD
—
Enumeration date
06/30/2020
Last updated
03/14/2024
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