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ALLISON WISE BENTLEY

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1366032807

Individual Registrant:
 ALLISON WISE BENTLEY 
Gender: F
Sole Proprietor

Location and contact information for practice:
959 BIG A RD  TOCCOA, GA 30577-6026 US
Tel: 706-886-6876  Fax: --

Contact information for business:
959 BIG A RD  TOCCOA, GA 30577-6026 US
Tel: 706-886-6876  Fax: --

Registration Information:
NPI: 1366032807
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA16804

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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