Individual
JACLYN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
320 HIGHWAY 52 BYP W, LAFAYETTE, TN 37083-1739
(615) 666-3613
(615) 666-2684
Mailing address
320 HIGHWAY 52 BYP W, LAFAYETTE, TN 37083-1739
(615) 666-3613
(615) 666-2684
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21786
TN
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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