Individual
JORDAN HASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
93 STONEBROOK PL, JACKSON, TN 38305-3637
(731) 660-2845
Mailing address
93 STONEBROOK PL, JACKSON, TN 38305-3637
(731) 660-2845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46360
TN
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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