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HAROLD NEAL FORENCE

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1629182530

Individual Registrant:
 HAROLD NEAL FORENCE 
Gender: M
Sole Proprietor

Location and contact information for practice:
324 W PATTON ST  LA FAYETTE, GA 30728-0791 US
Tel: 706-638-3114  Fax: 706-638-7713

Contact information for business:
PO BOX 791  LA FAYETTE, GA 30728-0791 US
Tel: 706-638-3114  Fax: 706-638-7713

Registration Information:
NPI: 1629182530
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA11913

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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