MR. Jack Edward Bullen, DPH.

NPI #1912042094 in Greeneville, Tennessee

Provider Information

NPI Number: 1912042094
Entity Type: Individual
Name: MR. Jack Edward Bullen, DPH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: DPH.
Enumeration Date: Feb 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 239 W SUMMER ST
City: Greeneville
State: Tennessee
ZIP Code: 37743-4925
Phone: (423) 638-4711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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