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Individual
J. R. DENTON
Active
Individual
J. R. DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11530
TN
183500000X
Pharmacist
Primary
E-05888
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11530
PHARMACY LICENSE
TN
01
—
E-O5888
PHARMACY LICENSE
MS
Enumeration date
08/15/2006
Last updated
07/08/2007
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