Individual
JACOB ALLEN JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10638 CONCORD RD, BRENTWOOD, TN 37027-8811
(615) 941-8879
Mailing address
10638 CONCORD RD, BRENTWOOD, TN 37027-8811
(615) 941-8879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34340
TN
Other
Enumeration date
01/12/2013
Last updated
01/12/2013
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