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Individual
LEE SEARGEANT III
Active
Individual
LEE SEARGEANT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5221
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445115
—
TN
01
—
5221
PHARMACIST
TN
Enumeration date
02/13/2018
Last updated
02/13/2018
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