NPI Search for Physicians and Health Care Providers
THERON GLENN FOX
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1841304383
Individual Registrant:
THERON GLENN FOX
Gender: M
Sole Proprietor
Location and contact information for practice:
204 BUTLER AVE MIDWAY, GA 31320 US
Tel: 912-884-9255 Fax: --
Contact information for business:
699 STARR CREEK RD RICHMOND HILL, GA 31324-6118 US
Tel: 912-727-2240 Fax: --
Registration Information:
NPI: 1841304383
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 183500000X | Pharmacy Service Providers Pharmacist
| GA | RPH010499 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS GA - Page 1