Individual
ARREONA LENORA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 MCCALLIE AVE, CHATTANOOGA, TN 37404-3118
(423) 622-2545
Mailing address
1105 FIELDSTONE DR, HIXSON, TN 37343-2473
(423) 424-6587
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40159
TN
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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