Individual
JENISE SOLOMONS BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 MAIN ST, GLEASON, TN 38229-7268
(731) 648-5146
Mailing address
491 SANDHILL RD, MARTIN, TN 38237-8609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8228
TN
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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