Individual
LAYLA SAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1405 N HIGHLAND AVE, JACKSON, TN 38301-3403
(731) 935-8303
Mailing address
1405 N HIGHLAND AVE, JACKSON, TN 38301-3403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216997
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202216997
LICENSURE
—
Enumeration date
04/07/2020
Last updated
04/07/2020
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