Jerry P. Eledge, DPH

NPI #1639299027 in La Vergne, Tennessee

Provider Information

NPI Number: 1639299027
Entity Type: Individual
Name: Jerry P. Eledge, DPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: DPH
Enumeration Date: Mar 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5150 MURFREESBORO RD # A
City: La Vergne
State: Tennessee
ZIP Code: 37086-2712
Phone: (615) 213-1203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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