Individual
JACOB ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH,PHARMD
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-7680
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(901) 262-9914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
45231
TN
1835P1200X
Pharmacotherapy Pharmacist
Primary
3169592
TN
Other
Enumeration date
07/04/2021
Last updated
03/15/2024
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