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1194717785
JAN SHOWALTER MEDEIROS
BRISTOL, TN
NPI
1194717785
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Former Name
JANICE ANN SHOWALTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 0202009118)
Enumeration Date
2005-08-18
Last Update Date
2007-07-08
Business Address
JAN SHOWALTER MEDEIROS RPH
1 MEDICAL PARK BLVD SUITE 106E
BRISTOL, TN 37620-7430
Phone number: 423-844-2888
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Mailing Address
JAN SHOWALTER MEDEIROS RPH
16447 OLD TIMBER RD
ABINGDON, VA 24210-4891
Phone number: 276-623-0801
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