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Individual

MR. JEFFREY ALLAN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
725 TENNESSEE AVE, ETOWAH, TN 37331
(423) 263-7824
(423) 263-5714
Mailing address
PO BOX 368, ANDERSON DRUGS & HOME CARE CENTER, ETOWAH, TN 37331
(423) 263-7824
(423) 263-5714

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6691
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1454338
TN
Enumeration date
07/17/2006
Last updated
10/22/2012
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