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MR. TERRY LEE TELLER PHARM.D.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1972773844

Individual Registrant:
MR. TERRY LEE TELLER PHARM.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
NAVAJO ROUTE 64 AND 12 TSAILE HEALTH CENTER TSAILE, AZ 86556-0467 US
Tel: 928-724-3644  Fax: 928-724-3605

Contact information for business:
PO BOX 467  TSAILE, AZ 86556-0467 US
Tel: 928-724-3644  Fax: 928-724-3605

Registration Information:
NPI: 1972773844
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
NMRP00007081

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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