Individual
BETHANY MCMACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-3379
Mailing address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-3379
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
42222
TN
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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