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MR. CHADWICK JASON BROWN

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1730398884

Individual Registrant:
MR. CHADWICK JASON BROWN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
162 OCILLA HWY BUILDING C FITZGERALD, GA 31750-3744 US
Tel: 229-423-2039  Fax: 229-424-0339

Contact information for business:
PO BOX 302  RHINE, GA 31077-0302 US
Tel: 229-385-1875  Fax: 229-424-0339

Registration Information:
NPI: 1730398884
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH018308

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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