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DR. JIMMY CASE PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1962713099

Individual Registrant:
DR. JIMMY  CASE PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1228 BATTLEFIELD PKWY  FORT OGLETHORPE, GA 30742-4008 US
Tel: 706-861-7284  Fax: --

Contact information for business:
4200 EALY RD  EAST RIDGE, TN 37412-2306 US
Tel: 423-386-5198  Fax: --

Registration Information:
NPI: 1962713099
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N183500000XPharmacy Service Providers
Pharmacist
GARPH024241
Y183500000XPharmacy Service Providers
Pharmacist
TN32962

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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