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Individual
DR. JEREMIAH GLASS
Active
Individual
DR. JEREMIAH GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40460
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40460
TENNESSEE BOARD OF PHARMACY
TN
Enumeration date
01/27/2017
Last updated
01/27/2017
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