Individual
JASON CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
600 NUCKOLLS RD, BOLIVAR, TN 38008-1532
(731) 658-5207
(731) 658-1758
Mailing address
600 NUCKOLLS RD, BOLIVAR, TN 38008-1532
(731) 658-5207
(731) 658-1758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
38096
TN
183500000X
Pharmacist
PS36397
FL
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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