DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN CHASE ILIC, PHARMD

Active

JORDAN CHASE ILIC, PHARMD is a Pharmacist healthcare provider located in CLARKSVILLE, Tennessee. NPI 1740778430 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · CLARKSVILLE, TN

Registration Details

NPI Number
1740778430
Provider Type
Individual
Gender
Male
NPI Issued
Apr 27, 2018 (8.2853509187492 yrs)
Last Updated
Apr 27, 2018
Licenses
17214 (KY)
38240 (TN)

Practice Information

Address
3050 WILMA RUDOLPH BLVD
CLARKSVILLE, TN, 370405031
Browse TN providers · Browse ZIP 37040
Phone
9315520241
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in CLARKSVILLE, TN

Name Credential NPI
KAREN H GEORGE PHARM D 1568409126
CLAIR MUIZNIEKS 1215009279
DR. BHARAT S ZAVER PHARM.D 1871645606
MS. LINDA WOOTEN HIGHERS DPH 1164578159
BHAVNA R. PATEL PHARM.D. 1578602348
MRS. JUDY CARYL LADD 1477696060
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.