JORDAN CHASE ILIC

CLARKSVILLE, TN
NPI1740778430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TN  38240)
Additional Taxonomies183500000X Pharmacist
(Licence: KY  17214)
Enumeration Date2018-04-27
Last Update Date2018-04-27
Business Address
JORDAN CHASE ILIC PharmD
3050 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040-5031
Phone number: 931-552-0241
Mailing Address
JORDAN CHASE ILIC PharmD
3050 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040-5031
Phone number: 931-552-0241
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