Jan Showalter Medeiros, RPH

NPI #1194717785 in Bristol, Tennessee

Provider Information

NPI Number: 1194717785
Entity Type: Individual
Name: Jan Showalter Medeiros, RPH
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 18, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1 MEDICAL PARK BLVD
Address 2: SUITE 106E
City: Bristol
State: Tennessee
ZIP Code: 37620-7430
Phone: (423) 844-2888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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