Individual
JACOB SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
534 N MAIN ST, LORETTO, TN 38469-2351
(931) 853-7421
(931) 853-7451
Mailing address
534 N MILITARY ST, LORETTO, TN 38469-2327
(931) 853-7421
(931) 853-7451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41324
TN
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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