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Individual

JEFF LAUDERMILK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
220 FOOTHILLS MALL DR, MARYVILLE, TN 37801-5516
(865) 379-7899
Mailing address
220 FOOTHILLS MALL DR, MARYVILLE, TN 37801-5516

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10135
TN

Other

Enumeration date
09/08/2011
Last updated
09/08/2011
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