Individual
JACQUELINE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 CHOCTAW DR, HENDERSONVILLE, TN 37075-4642
(615) 364-6314
Mailing address
118 CHOCTAW DR, HENDERSONVILLE, TN 37075-4642
(615) 364-6314
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10934
TN
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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