Organization
JERRY M DUREN
Active
Other names
Wayne County General Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY MCCLAIN DUREN D.PH. (PHARMACIST IS CHARGE)
(931) 722-2038
Entity
Organization
Contact information
Practice address
103 JV MANGUBAT DR, WAYNESBORO, TN 38485-2440
(931) 722-2038
(931) 722-6879
Mailing address
103 JV MANGUBAT DR, P.O. BOX 736, WAYNESBORO, TN 38485-2440
(931) 722-2038
(931) 722-6879
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
001866
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001866
LICENSE ID NUMBER
TN
Enumeration date
03/01/2007
Last updated
03/07/2023
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