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MRS. MELINDA CARGILE FOWLER RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1790389260
Individual Registrant:MRS. MELINDA CARGILE FOWLER RPH
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1948 OLD OCILLA RD TIFTON, GA 31794-1644 US
Tel: 229-391-3500 Fax: 229-391-3499
Tel: 229-391-3500 Fax: 229-391-3499
Contact information for business:
59 GASTON AVE TIFTON, GA 31794-2075 US
Tel: 229-412-2333 Fax: --
Tel: 229-412-2333 Fax: --
Registration Information:
NPI: 1790389260
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | RPH019390 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
