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1740778430
JORDAN CHASE ILIC
CLARKSVILLE, TN
NPI
1740778430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 38240)
Additional Taxonomies
183500000X Pharmacist
(Licence: KY 17214)
Enumeration Date
2018-04-27
Last Update Date
2018-04-27
Business Address
JORDAN CHASE ILIC PharmD
3050 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040-5031
Phone number: 931-552-0241
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Mailing Address
JORDAN CHASE ILIC PharmD
3050 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040-5031
Phone number: 931-552-0241
Copy
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