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DR. THOMAS JACKSON FOWLER PHARM.D.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1649717083

Individual Registrant:
DR. THOMAS JACKSON FOWLER PHARM.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
488 CARROLLTON STREET  TEMPLE, GA 30179 US
Tel: 770-562-2716  Fax: 770-562-2778

Contact information for business:
488 CARROLLTON STREET  TEMPLE, GA 30179 US
Tel: 770-562-2716  Fax: 770-562-2778

Registration Information:
NPI: 1649717083
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH026289
N183500000XPharmacy Service Providers
Pharmacist
AL16555

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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