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Individual

MARTIN ERIC MILLER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2196 EMPORIUM DR, JACKSON, TN 38305-6004
(731) 668-1277
Mailing address
70 WOODSHIRE CV, JACKSON, TN 38305-1308

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
021422
KY
183500000X
Pharmacist
Primary
44211
TN

Other

Enumeration date
07/28/2020
Last updated
07/28/2020
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