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1164891503
JORDAN FUGITT
JOHNSON CITY, TN
NPI
1164891503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AR PD13066)
Enumeration Date
2015-09-16
Last Update Date
2015-09-16
Business Address
JORDAN FUGITT PHARMD
69 DOGWOOD AVE ATTN: PHARMACY
JOHNSON CITY, TN 37604
Phone number: 423-926-1171
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Mailing Address
JORDAN FUGITT PHARMD
1003 JOHNSON AVE
JOHNSON CITY, TN 37604-5311
Phone number:
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