Individual
DR. JOHN TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
1025 E HIGHWAY 72 BYP, FREDERICKTOWN, MO 63645-7326
(573) 783-6000
Mailing address
5488 MYSTIC OAKS DR, IMPERIAL, MO 63052-3433
(636) 322-9266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2013024727
MO
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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