Individual
MR. BRUCE JOHNSON PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH.
Contact information
Practice address
700 E REELFOOT AVE, UNION CITY, TN 38261-5804
(731) 884-1223
(731) 884-3859
Mailing address
700 E REELFOOT AVE, UNION CITY, TN 38261-5804
(731) 884-1223
(731) 884-3859
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6107
TN
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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