Individual
JORDAN KYLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-4274
(423) 638-4889
Mailing address
1650 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-4274
(423) 638-4889
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41424
TN
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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