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DR. JACK LORAN ADAMS R.PH., PHARM. D.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1588774228

Individual Registrant:
DR. JACK LORAN ADAMS R.PH., PHARM. D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3015 VETERANS PKWY S  MOULTRIE, GA 31788-6705 US
Tel: 229-985-4815  Fax: --

Contact information for business:
757 CIRCLE RD  MOULTRIE, GA 31768-4253 US
Tel: --  Fax: --

Registration Information:
NPI: 1588774228
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH018926

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENSE NUMBERRPH018926GA01




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