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MR. RICHARD MARION DENNARD RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1952441180

Individual Registrant:
MR. RICHARD MARION DENNARD RPH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
119 2ND ST N  SOPERTON, GA 30457-1177 US
Tel: 912-529-4545  Fax: 912-529-6161

Contact information for business:
119 2ND ST N  SOPERTON, GA 30457-1177 US
Tel: 912-529-4545  Fax: 912-529-6161

Registration Information:
NPI: 1952441180
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH009363

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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