Individual
CYNTHIA SUZETTE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
384 OIL WELL RD, JACKSON, TN 38305-7929
(731) 661-1072
Mailing address
1 QUAIL CREEK DR, JACKSON, TN 38305-8867
(731) 661-1072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5612
TN
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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