Individual
JASON MORELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2412 W STATE ST, BRISTOL, TN 37620-1836
(423) 764-3261
Mailing address
2412 W STATE ST, BRISTOL, TN 37620-1836
(423) 764-3261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75792
CA
Other
Enumeration date
04/13/2017
Last updated
01/13/2023
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