Individual
JORDAN LEE CASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
553 E BLEDSOE ST, GALLATIN, TN 37066-3003
(719) 424-8043
Mailing address
140 CIRCLE DR, HARTSVILLE, TN 37074-2001
(719) 424-8043
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000076784
TN
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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