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Jessica Broyles

Pharmacist in Greeneville, TN. Individual provider (NPI-1).

NPI number1669726261
StatusActive
Last updated in NPPESNov 4, 2012

Details

NPI
1669726261
Entity type
Individual (NPI-1)
Name
Mrs. Jessica Broyles
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 4, 2012
Last updated
Nov 4, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist0000029427TNYes

Practice location

1355 Tusculum Blvd
Greeneville, TN 37745-4249

Phone 423-636-1344 · Fax 423-636-8951

Mailing address

1355 Tusculum Blvd
Greeneville, TN 37745-4249

Phone 423-636-1344 · Fax 423-636-8951

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