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MICHAEL CHASE ALTMAN PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1902418031
Individual Registrant: MICHAEL CHASE ALTMAN PHARMD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1800 BAYTREE RD VALDOSTA, GA 31602-3552 US
Tel: 229-242-4939 Fax: --
Tel: 229-242-4939 Fax: --
Contact information for business:
1800 BAYTREE RD VALDOSTA, GA 31602-3552 US
Tel: 229-242-4939 Fax: --
Tel: 229-242-4939 Fax: --
Registration Information:
NPI: 1902418031
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | RPH031269 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
