Individual
JORDAN TAYLOR GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8950 KINGSTON PIKE, KNOXVILLE, TN 37923-5003
(865) 694-1186
Mailing address
8950 KINGSTON PIKE, KNOXVILLE, TN 37923-5003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000046363
TN
183500000X
Pharmacist
Primary
216179
TN
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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