KIANA MICHELLE TISDALE

HERMITAGE, TN
NPI1740888403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: TN  44307)
Additional Taxonomies183500000X Pharmacist
(Licence: FL  PS61549)
Enumeration Date2020-10-14
Last Update Date2021-09-30
Business Address
KIANA MICHELLE TISDALE Pharm.D.
4750 TRENTON DR APT A
HERMITAGE, TN 37076-1545
Phone number: 615-335-5020
Mailing Address
KIANA MICHELLE TISDALE Pharm.D.
4750 TRENTON DR APT A
HERMITAGE, TN 37076-1545
Phone number: