Individual
BREANNA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2401 N CENTRAL AVE, HUMBOLDT, TN 38343-1753
(731) 784-2613
Mailing address
406 COPPER CREEK DR, JACKSON, TN 38305-5702
(731) 610-3054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47358
TN
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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