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Individual

MR. CHARLES WAYNE CHERRY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH.

Contact information

Practice address
732 OLD HICKORY BLVD, JACKSON, TN 38305-2440
(731) 668-3929
(731) 668-0225
Mailing address
1332 N HIGHLAND AVE, JACKSON, TN 38301-4019
(731) 427-4992

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5336
TN

Other

Enumeration date
09/17/2009
Last updated
01/27/2017
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