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Individual

DEBORAH H TEAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
650 JOEL DR, ROOM 3CE31, FORT CAMPBELL, KY 42223-5318
(270) 798-8880
(270) 956-0207
Mailing address
650 JOEL DR, ROOM 3CE31, FORT CAMPBELL, KY 42223-5318
(270) 798-8880
(270) 956-0207

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
7671
TN

Other

Enumeration date
09/06/2012
Last updated
09/06/2012
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