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Individual

KIANA MICHELLE TISDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
4750 TRENTON DR APT A, HERMITAGE, TN 37076-1545
(615) 335-5020
Mailing address
4750 TRENTON DR APT A, HERMITAGE, TN 37076-1545

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS61549
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
44307
TN

Other

Enumeration date
10/14/2020
Last updated
09/30/2021
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