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RONALD DOUGLAS SMITH RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1326330879

Individual Registrant:
 RONALD DOUGLAS SMITH RPH
Gender: M
Sole Proprietor

Location and contact information for practice:
401 N DUVAL ST  CLAXTON, GA 30417-5939 US
Tel: 912-739-1327  Fax: --

Contact information for business:
3028 SHALLOWFORD RD  MARIETTA, GA 30062-1252 US
Tel: 770-971-6180  Fax: --

Registration Information:
NPI: 1326330879
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA17179

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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