Provider Demographics
NPI:1760108278
Name:SUTTON, JOLEIGH ADAIR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOLEIGH
Middle Name:ADAIR
Last Name:SUTTON
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 1:200 EDENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-3827
Mailing Address - Country:US
Mailing Address - Phone:731-300-1696
Mailing Address - Fax:
Practice Address - Street 1:620 SKYLINE DRIVE
Practice Address - Street 2:CARE OF THE PHARMACY DEPARTMENT
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-3830
Practice Address - Country:US
Practice Address - Phone:731-541-8031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15551183500000X
TN33023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist