Provider Demographics
NPI:1992735484
Name:HOPPER, JENNIFER KAIL (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:KAIL
Last Name:HOPPER
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 1:4579 JOHNSONS GROVE RD
Mailing Address - Street 2:
Mailing Address - City:BELLS
Mailing Address - State:TN
Mailing Address - Zip Code:38006-2246
Mailing Address - Country:US
Mailing Address - Phone:731-663-0351
Mailing Address - Fax:731-663-0265
Practice Address - Street 1:13062 HIGHWAY 79
Practice Address - Street 2:RAINES PHARMACY
Practice Address - City:BELLS
Practice Address - State:TN
Practice Address - Zip Code:38006-3916
Practice Address - Country:US
Practice Address - Phone:731-663-3333
Practice Address - Fax:731-663-0265
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10412183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist