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MR. JERRY WAYNE DIXON R.PH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1821193129

Individual Registrant:
MR. JERRY WAYNE DIXON R.PH
Gender: M
Sole Proprietor

Location and contact information for practice:
174 PERRY HOUSE RD  FITZGERALD, GA 31750-8838 US
Tel: 229-423-2313  Fax: --

Contact information for business:
174 PERRY HOUSE RD  FITZGERALD, GA 31750-8838 US
Tel: 229-423-2313  Fax: --

Registration Information:
NPI: 1821193129
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA10075

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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