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WESLEY COLSTON RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1114368719

Individual Registrant:
 WESLEY  COLSTON RPH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1308 S HARRIS ST  SANDERSVILLE, GA 31082-6913 US
Tel: 478-552-1988  Fax: --

Contact information for business:
PO BOX 535  WRIGHTSVILLE, GA 31096-0535 US
Tel: 478-469-3102  Fax: --

Registration Information:
NPI: 1114368719
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH018709

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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