MR. Fred Eugene Purvis, GA RPH 10245

NPI #1780770222 in Moultrie, Georgia

Provider Information

NPI Number
1780770222
Entity Type
Individual
Name
MR. Fred Eugene Purvis, GA RPH 10245
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
GA RPH 10245
Enumeration Date
Oct 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
WINN DIXIE 101
Address 2
103 TALMADGE DR
State
Georgia
ZIP Code
31768
Phone
(229) 891-2555

Specialties & Taxonomy Codes

Specialty
Pharmacist

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