Individual
JACOB MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 S RUTHERFORD BLVD, MURFREESBORO, TN 37130-5993
(615) 896-8853
Mailing address
2900 S RUTHERFORD BLVD, MURFREESBORO, TN 37130-5993
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33693
TN
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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