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EDWARD T ROCERETA R.PH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1326338344

Individual Registrant:
 EDWARD T ROCERETA R.PH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1105 WARM SPRINGS HWY  MANCHESTER, GA 31816-1167 US
Tel: 706-846-2776  Fax: --

Contact information for business:
7227 ROOSEVELT HWY  WARM SPRINGS, GA 31830-2723 US
Tel: 404-558-1499  Fax: --

Registration Information:
NPI: 1326338344
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH011361

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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