Individual
JONATHAN LISTER
Active
Individual
JONATHAN LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH,PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
37525
TN
1835P1300X
Psychiatric Pharmacist
Primary
37525
TN
Other
Enumeration date
04/29/2014
Last updated
10/30/2024
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