Individual
DR. JORDAN MANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
4423 WESTERN AVE, KNOXVILLE, TN 37921-4306
(865) 971-4234
(865) 971-4241
Mailing address
4423 WESTERN AVE, KNOXVILLE, TN 37921-4306
(865) 971-4234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40192
TN
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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