Individual provider · Type 1 NPI

Jordan Fugitt, PharmD

Pharmacist · Johnson City, TN

NPI number 1164891503 Active

Practice location

69 Dogwood Ave, Attn: Pharmacy
Johnson City, TN 37604

Mailing address

1003 Johnson Ave
Johnson City, TN 37604-5311

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPD13066 (AR)

Pharmacist: 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…

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About NPI 1164891503

Jordan Fugitt, PharmD's National Provider Identifier is 1164891503, issued on Sep 16, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Johnson City, TN. The record was last updated on Sep 16, 2015.