Vicklyn Lunick Datilus, PHARMD

NPI #1093437899 in Jackson, Georgia

Provider Information

NPI Number: 1093437899
Entity Type: Individual
Name: Vicklyn Lunick Datilus, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 19, 2022
Last Updated: Sep 19, 2022

Practice Location

Address: 506 E 3RD ST
City: Jackson
State: Georgia
ZIP Code: 30233-2105
Phone: (770) 775-7134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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