Individual
MACKENSEY BROOKE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
510 E STUART DR, GALAX, VA 24333-2219
(276) 236-3402
(276) 236-1426
Mailing address
80 CONNER LN, GALAX, VA 24333-6172
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230044072
VA
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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