MR. Stanley Lamar Hogan, BSRPH

NPI #1386083939 in Jackson, Georgia

Provider Information

NPI Number: 1386083939
Entity Type: Individual
Name: MR. Stanley Lamar Hogan, BSRPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: BSRPH
Enumeration Date: Jun 17, 2013
Last Updated: Jun 17, 2013

Practice Location

Address: 4 2ND ST
City: Jackson
State: Georgia
ZIP Code: 30233-1920
Phone: (770) 775-3663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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