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MR. ROBERT CARL AULT RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1508133141
Individual Registrant:MR. ROBERT CARL AULT RPH
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1308 W WALNUT AVE DALTON, GA 30720-3827 US
Tel: 706-618-2130 Fax: --
Tel: 706-618-2130 Fax: --
Contact information for business:
214 N VARNELL RD TUNNEL HILL, GA 30755-9219 US
Tel: 706-673-2001 Fax: --
Tel: 706-673-2001 Fax: --
Registration Information:
NPI: 1508133141
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | 012519 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
