Individual
JONATHAN LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH,PHARMD
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212
(615) 873-6776
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-6776
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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