Individual
JACOB ALLEN BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7994 US HIGHWAY 51 N, MILLINGTON, TN 38053-1909
(901) 873-3373
Mailing address
7994 US HIGHWAY 51 N, MILLINGTON, TN 38053-1909
(901) 873-3373
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47493
TN
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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