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Contact Information

JERRY M DUREN
103 JV MANGUBAT DR
WAYNESBORO, TN38485-2440
 Phone: 931-722-2038
 Fax: 931-722-6879
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JERRY M DUREN

NPI # 1457489312
LBN Legal business name JERRY M DUREN
Authorized official JERRY DUREN - (PHARMACIST IS CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2007
Last updated 03/07/2023 - About 3 years ago
Identifiers
TN License # 001866
TN Other 001866 LICENSE ID NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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