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Mr. Jack Edward Bullen, DPH
Pharmacist in Greeneville, Tennessee
NPI 1912042094

Jack Edward Bullen is a Pharmacist based in Greeneville, TN. Jack Edward Bullen practices in Greeneville, TN and has the professional credentials of DPH. The NPI Number for Jack Edward Bullen is 1912042094 and holds a License No. 458 (Tennessee).

The current practice location address for Jack Edward Bullen is 239 W Summer St, Greeneville, TN and can be reached out via phone at 423-638-4711 and via fax at 423-638-3311.

Location: 239 W Summer St, Greeneville, TN, 37743-6638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912042094
Provider Name
Jack Edward Bullen
Credential
DPH
Provider Entity Type
Individual
Gender
Male
Address
239 W Summer St, Greeneville, TN, 37743-6638
Phone Number
423-638-4711
Fax Number
423-638-3311
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1454403 05 TN
institution
Provider Business Practice Location Address Details
Address
239 W Summer St
City
Greeneville
State
Tennessee
Zip
37743-4925
Phone Number
423-638-4711
Fax Number
423-638-3311
person
Provider Business Mailing Address Details
Address
239 W Summer St
City
Greeneville
State
Tennessee
Zip
37743-4925
Phone Number
423-638-4711
Fax Number
423-638-3311
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
458 (Tennessee)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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