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MR. TOMMY P PORTER R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1548256514

Individual Registrant:
MR. TOMMY P PORTER R.PH.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
129 N 2ND ST  COCHRAN, GA 31014-8742 US
Tel: 478-934-6344  Fax: 478-934-8820

Contact information for business:
129 N 2ND ST  COCHRAN, GA 31014-8742 US
Tel: 478-934-6344  Fax: 478-934-8820

Registration Information:
NPI: 1548256514
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA012215

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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