Individual
JARROD VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
136 E BROADWAY, NEWPORT, TN 37821-2323
(423) 720-9777
Mailing address
6208 GOLDEN DR, MORRISTOWN, TN 37814-1380
(423) 608-5475
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40492
TN
Other
Enumeration date
02/10/2017
Last updated
07/09/2020
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