JESSE MULLINS

JOHNSON CITY, TN
NPI1346648268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TN  0000038748)
Additional Taxonomies183500000X Pharmacist
(Licence: VA  0202213552)
183500000X Pharmacist
(Licence: NC  24684)
183500000X Pharmacist
(Licence: KY  017462)
Enumeration Date2014-12-09
Last Update Date2014-12-09
Business Address
-- JESSE MULLINS
121 BOONE RIDGE DR, SUITE 1006
JOHNSON CITY, TN 37615
Phone number: 423-282-0520
Mailing Address
-- JESSE MULLINS
PO BOX 325
DORTON, KY 41520-0325
Phone number: 606-794-8740