Individual
LESLIE CAROL JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1655 W COLLEGE ST, PULASKI, TN 38478-5207
(931) 424-5584
Mailing address
1655 W COLLEGE ST, PULASKI, TN 38478-5207
(931) 424-5584
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29399
TN
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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