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MR. ROBERT CARL AULT RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1508133141

Individual Registrant:
MR. ROBERT CARL AULT RPH
Gender: M
Sole Proprietor

Location and contact information for practice:
1308 W WALNUT AVE  DALTON, GA 30720-3827 US
Tel: 706-618-2130  Fax: --

Contact information for business:
214 N VARNELL RD  TUNNEL HILL, GA 30755-9219 US
Tel: 706-673-2001  Fax: --

Registration Information:
NPI: 1508133141
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA012519

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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