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MR. ALTON DELANA DYKES RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1588944045

Individual Registrant:
MR. ALTON DELANA DYKES RPH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
126 BROAD ST  HAWKINSVILLE, GA 31036-4815 US
Tel: 478-783-4700  Fax: 478-783-4706

Contact information for business:
126 BROAD ST  HAWKINSVILLE, GA 31036-4815 US
Tel: 478-783-2325  Fax: 478-783-4706

Registration Information:
NPI: 1588944045
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH009241

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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