Individual
JESSICA FRESHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
807 UNIVERSITY PKWY, MAPLE AVENUE, BUILDING 7, SUITE 312, JOHNSON CITY, TN 37614-6500
(423) 439-6742
(423) 439-6784
Mailing address
3 ALTA TREE CT, JOHNSON CITY, TN 37604-4600
(423) 439-6742
(423) 439-6784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34351
TN
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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