Individual
DR. JENNIFER ELIZABETH KOSCIOLEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
5995 STAGE RD, BARTLETT, TN 38134-8311
(901) 385-7097
(901) 385-7098
Mailing address
10136 MACKWOOD DR, LAKELAND, TN 38002-8380
(901) 385-7097
(901) 385-7098
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11676
TN
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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