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DR. JEFF ALBERT DALTON RPH, PHARM D
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1366596603
Individual Registrant:DR. JEFF ALBERT DALTON RPH, PHARM D
Gender: M
Not Sole Proprietor
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
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
Tel: 706-886-8711 Fax: 706-886-4956
Registration Information:
NPI: 1366596603
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | RPH021281 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| GEROGIA PHARMACIST LICENS | RPH021281 | GA | 01 |
