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MR. ANTHONY CHAD HETHCOX R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1245337674

Individual Registrant:
MR. ANTHONY CHAD HETHCOX R.PH.
Gender: M
Sole Proprietor

Location and contact information for practice:
305 E LONG ST  CLAXTON, GA 30417-1411 US
Tel: 912-739-9393  Fax: --

Contact information for business:
PO BOX 577  CLAXTON, GA 30417-0577 US
Tel: 912-739-9393  Fax: --

Registration Information:
NPI: 1245337674
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH017487

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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