Individual
JONATHAN BROYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
248 S MAIN ST, JELLICO, TN 37762-2017
(423) 784-8880
(423) 784-5982
Mailing address
248 S MAIN ST, JELLICO, TN 37762-2017
(423) 784-8880
(423) 784-5982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000040648
TN
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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