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WAYNE HERNDON R. PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1043602113

Individual Registrant:
 WAYNE  HERNDON R. PH.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1523 LULLWATER CIR SE  CAIRO, GA 39828-3551 US
Tel: 229-378-8880  Fax: --

Contact information for business:
1523 LULLWATER CIR SE  CAIRO, GA 39828-3551 US
Tel: 229-378-8880  Fax: --

Registration Information:
NPI: 1043602113
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA9667

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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