Individual provider · NPI-1
Jordan Lee Cassell, CPht
Pharmacy Technician · Gallatin, TN
NPI number1891408217
StatusActive
Last updated in NPPESDec 30, 2022
Details
- NPI
- 1891408217
- Entity type
- Individual (NPI-1)
- Name
- Jordan Lee Cassell
- Credential
- CPht
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 30, 2022
- Certification date
- Dec 30, 2022
- Last updated
- Dec 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | 0000076784 | TN | Yes |
Other names
- Jordan Lee Turner (Former Name)
Practice location
553 E Bledsoe StGallatin, TN 37066-3003
Phone 719-424-8043
Mailing address
140 Circle DrHartsville, TN 37074-2001
Phone 719-424-8043
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