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TONYA ADCOCK

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1932676152

Individual Registrant:
 TONYA  ADCOCK 
Gender: F
Sole Proprietor

Location and contact information for practice:
804 SECOND ST  SOPERTON, GA 30457-2402 US
Tel: 912-529-2021  Fax: 912-529-2031

Contact information for business:
804 SECOND ST  SOPERTON, GA 30457-2402 US
Tel: 912-529-2021  Fax: 912-529-2031

Registration Information:
NPI: 1932676152
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA017224

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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