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1154625986
JACK JEFFREY WARD
KINGSPORT, TN
NPI
1154625986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 34420)
Enumeration Date
2011-01-09
Last Update Date
2011-01-09
Business Address
Dr. JACK JEFFREY WARD pharmd
1425 E CENTER ST
KINGSPORT, TN 37664-2501
Phone number: 423-245-2181
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Mailing Address
Dr. JACK JEFFREY WARD pharmd
1233 EASTBROOK DR
KINGSPORT, TN 37663-2407
Phone number:
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