Individual
JACQUELINE RISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
384 OIL WELL RD, JACKSON, TN 38305-7929
(731) 664-8892
Mailing address
384 OIL WELL RD, JACKSON, TN 38305-7929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41249
TN
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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