Individual
CHRISTINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2409 US HIGHWAY 411 S, MARYVILLE, TN 37801-8635
(865) 981-8898
(865) 981-8896
Mailing address
2409 US HIGHWAY 411 S, MARYVILLE, TN 37801-8635
(865) 981-8898
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000033766
TN
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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