Individual
DONNA SHOFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 NOLAN CV, JACKSON, TN 38305
(731) 554-9872
(731) 554-9874
Mailing address
24 NOLAN CV, JACKSON, TN 38305
(731) 554-9872
(731) 554-9874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8914
TN
Other
Enumeration date
08/08/2009
Last updated
01/04/2019
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