Individual
MARK DEARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 W MAIN ST, HENDERSON, TN 38340-2536
(731) 989-0077
(731) 989-0076
Mailing address
93 STONEBROOK PL, T-0921, JACKSON, TN 38305-3637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23938
TN
Other
Enumeration date
10/24/2012
Last updated
04/03/2020
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