JACOB ALLEN JOLLY

BRENTWOOD, TN
NPI1134466089
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TN  34340)
Enumeration Date2013-01-12
Last Update Date2013-01-12
Business Address
-- JACOB ALLEN JOLLY
10638 CONCORD RD
BRENTWOOD, TN 37027-8811
Phone number: 615-941-8879
Mailing Address
-- JACOB ALLEN JOLLY
10638 CONCORD RD
BRENTWOOD, TN 37027-8811
Phone number: 615-941-8879