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Organization
DICKSON MEDICAL EQUIPMENT
Active
Organization
DICKSON MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON E SHIFLET (DIRECT OWNER)
(615) 446-7444
Entity
Organization
Contact information
Practice address
2073 HIGHWAY 70 W, DICKSON, TN 37055-3152
(615) 446-7444
Mailing address
2073 HIGHWAY 70 W, DICKSON, TN 37055-3152
(615) 446-7444
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
25580
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000710
STATE LICENSE
TN
Enumeration date
03/19/2007
Last updated
08/22/2020
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