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Individual

JOSHUA PETRUNGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2050 GALLATIN PIKE N, MADISON, TN 37115-2002
(615) 851-2928
Mailing address
2050 GALLATIN PIKE N, MADISON, TN 37115-2002
(615) 851-2928

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0007485
WV

Other

Enumeration date
05/21/2013
Last updated
07/13/2014
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