JENNIFER ROSE BLACK

LEBANON, TN
NPI1467079111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TN  44141)
Enumeration Date2020-06-29
Last Update Date2024-09-11
Business Address
JENNIFER ROSE BLACK
1703 W MAIN ST
LEBANON, TN 37087-3186
Phone number: 615-444-3576
Mailing Address
JENNIFER ROSE BLACK
4155 MAGNOLIA FARMS DR
HERMITAGE, TN 37076-1638
Phone number: 615-294-2314