NPI 1013068071
Mandy D Buckley, CPHT
Practice location
- Address
- 200 W Main St, Jackson, TN 38301-6114
- Phone
- (731) 427-1528
- Fax
- (731) 423-4590
- Mailing address
- 525 Smith Rd, Luray, TN 38352-1789
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1013068071
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Jan 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.