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GESTON GARNER EWING RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1417971789

Individual Registrant:
 GESTON GARNER EWING RPH
Gender: M
Sole Proprietor

Location and contact information for practice:
502 S GRANT ST  FITZGERALD, GA 31750-3312 US
Tel: 229-423-9801  Fax: 229-423-9496

Contact information for business:
502 S GRANT ST  FITZGERALD, GA 31750-3312 US
Tel: 229-423-9801  Fax: 229-423-9496

Registration Information:
NPI: 1417971789
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA004374

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0025231AGA05




HEALTH CARE JOBS GA - Page 1



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