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GESTON GARNER EWING RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1417971789
Individual Registrant: GESTON GARNER EWING RPH
Gender: M
Sole Proprietor
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
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
Tel: 229-423-9801 Fax: 229-423-9496
Registration Information:
NPI: 1417971789
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | 004374 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0025231A | GA | 05 |
