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CAROLE RAY RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1962564112
Individual Registrant: CAROLE RAY RPH
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
400 HIGHWAY 32W SYCAMORE, GA 31790 US
Tel: 229-484-1225 Fax: --
Tel: 229-484-1225 Fax: --
Contact information for business:
400 HIGHWAY 32 P.O. BOX 64 SYCAMORE, GA 31790 US
Tel: 229-484-1225 Fax: --
Tel: 229-484-1225 Fax: --
Registration Information:
NPI: 1962564112
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | RPH011576 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
