Individual
JONATHAN RANDALL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
231 MARY ANN DR, MEMPHIS, TN 38117-2805
(731) 571-0063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
38546
TN
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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