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LORAY THOMAS CHILDS RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1780717223
Individual Registrant: LORAY THOMAS CHILDS RPH
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
126 W CLINTON ST GRAY, GA 31032-5322 US
Tel: 478-986-3161 Fax: 478-986-5056
Tel: 478-986-3161 Fax: 478-986-5056
Contact information for business:
PO BOX 1544 GRAY, GA 31032-1544 US
Tel: 478-986-9652 Fax: --
Tel: 478-986-9652 Fax: --
Registration Information:
NPI: 1780717223
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | 15827 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
