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DR. JEFF ALBERT DALTON RPH, PHARM D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1366596603

Individual Registrant:
DR. JEFF ALBERT DALTON RPH, PHARM D
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1197 BIG A RD INGLES PHARMACY TOCCOA, GA 30577-6028 US
Tel: 706-886-8711  Fax: 706-886-4956

Contact information for business:
1197 BIG A RD INGLES PHARMACY TOCCOA, GA 30577-6028 US
Tel: 706-886-8711  Fax: 706-886-4956

Registration Information:
NPI: 1366596603
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH021281

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
GEROGIA PHARMACIST LICENSRPH021281GA01




HEALTH CARE JOBS GA - Page 1



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