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Individual

DR. JOHN JACOB PUSTULKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1301 BELL RD, ANTIOCH, TN 37013-3730
(615) 837-6990
(615) 837-9759
Mailing address
801 INVERNESS AVE, APT. A-13, NASHVILLE, TN 37204-2735
(313) 408-6723

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36877
TN

Other

Enumeration date
08/10/2011
Last updated
05/26/2014
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