Organization
DUREN CLINICAL SERVICES, LLC
Active
Other names
DUREN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY M. DUREN PHARM.D (OWNER)
(931) 722-5466
Entity
Organization
Contact information
Practice address
215 DEXTER L WOODS MEMORIAL BLVD, WAYNESBORO, TN 38485-2416
(931) 722-5466
(931) 722-9495
Mailing address
215 DEXTER L WOODS MEMORIAL BLVD, P. O. BOX 736, WAYNESBORO, TN 38485-2416
(931) 722-5466
(931) 722-9495
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1195
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452222
—
TN
01
—
4078454
TENNCARE SELECT
TN
Enumeration date
04/25/2006
Last updated
05/19/2021
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