Organization
DUREN CLINICAL SERVICES
Active
Other names
Durens Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY MCCLAIN DUREN D.PH. (OWNER)
(931) 722-5466
Entity
Organization
Contact information
Practice address
107 JV MANGUBAT DR, WAYNESBORO, TN 38485-2440
(931) 722-5466
(931) 722-9495
Mailing address
107 JV MANGUBAT DR, WAYNESBORO, TN 38485-2440
(931) 722-2296
(931) 722-3464
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5230
TENNESSEE LICENSE
TN
Enumeration date
08/13/2013
Last updated
05/19/2021
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