Individual
BILL MICHAEL RICHARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
505 ROLAND AVE, JACKSON, TN 38301-4301
(731) 423-2272
(731) 423-2174
Mailing address
505 ROLAND AVE, JACKSON, TN 38301-4301
(731) 423-2272
(731) 423-2174
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1987
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4419708
NABP
TN
Enumeration date
09/20/2005
Last updated
07/08/2007
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