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Individual

MR. GARY M JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
101 LEXINGTON PLZ, LEXINGTON, TN 38351-1505
(731) 968-8653
(731) 967-0939
Mailing address
101 LEXINGTON PLZ, LEXINGTON, TN 38351-1505
(731) 968-8653
(731) 967-0939

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
269
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4417401
NCPDP
TN
05
9440432
TN
Enumeration date
02/06/2007
Last updated
07/08/2007
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