MR. Wallace Allen Partridge JR., PHARMACIST

NPI #1447569694 in Grovetown, Georgia

Provider Information

NPI Number
1447569694
Entity Type
Individual
Name
MR. Wallace Allen Partridge JR., PHARMACIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARMACIST
Enumeration Date
Oct 5, 2010
Last Updated
Oct 5, 2010

Practice Location

Address
5104 WRIGHTSBORO RD.
Address 2
FRED'S PHARMACY 1699
State
Georgia
ZIP Code
30813
Phone
(706) 210-7545

Specialties & Taxonomy Codes

Specialty
Pharmacist

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