Individual
JACQUELINE DEILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 DEXTER L WOODS MEMORIAL BLVD, WAYNESBORO, TN 38485-2416
(931) 722-5466
Mailing address
PO BOX 736, WAYNESBORO, TN 38485-0736
(931) 722-5466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000038807
TN
183500000X
Pharmacist
017418
KY
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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