Individual
MELINDA LYNN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
507 WEST ELK AVE, ELIZBETHTON, TN 37643
(423) 543-3052
(423) 542-9283
Mailing address
253 FAIRWAY DRIVE, BLOUNTVILLE, TN 37617
(423) 323-8879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6359
TN
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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