Organization
KJK LLC
Active
Other names
Goodlark Pharmacy at Fairview
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER PAUL KONECNY (CFO, OWNER, PHARMD)
(732) 580-5805
Entity
Organization
Contact information
Practice address
2340 FAIRVIEW BLVD. SUITE 300, FAIRVIEW, TN 37062
(615) 446-8043
(615) 446-7556
Mailing address
2340 FAIRVIEW BLVD. SUITE 300, FAIRVIEW, TN 37062
(615) 387-9000
(615) 266-2362
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q045582
—
TN
05
—
Q072310001
—
TN
Enumeration date
02/27/2018
Last updated
10/27/2025
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