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NPI Code Detail

MEDICARE: PATRICIA JUE PHARMD

MEDICARE: PATRICIA JUE PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist150TN

General Provider Information

NPI Number : 1710228903
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA JUE PHARMD
Provider Business Mailing Address
First Line : 9025 HIGHWAY 64
Second Line :
City : LAKELAND
State : TN
Zip : 38002-8448
Country : US
Telephone Number : 901-383-2265
Fax Number :
Provider Business Practice Location Address
First Line : 9025 HIGHWAY 64
Second Line :
City : LAKELAND
State : TN
Zip : 38002-8448
Country : US
Telephone Number : 901-383-2265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2013
Last Update Date : 03/13/2013

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