Provider Demographics
NPI:1659828689
Name:GARLAND, JENEVA (PHARMD)
Entity Type:Individual
Prefix:
First Name:JENEVA
Middle Name:
Last Name:GARLAND
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2732 BELLE MEADE PL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-7289
Mailing Address - Country:US
Mailing Address - Phone:931-334-9075
Mailing Address - Fax:
Practice Address - Street 1:2176 HILLSBORO RD
Practice Address - Street 2:SUITE 124
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-6235
Practice Address - Country:US
Practice Address - Phone:615-791-0394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40630183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist