MR. Jerry Wayne Dixon, R.PH

NPI #1821193129 in Fitzgerald, Georgia

Provider Information

NPI Number: 1821193129
Entity Type: Individual
Name: MR. Jerry Wayne Dixon, R.PH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH
Enumeration Date: Sep 13, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 174 PERRY HOUSE RD
City: Fitzgerald
State: Georgia
ZIP Code: 31750-8838
Phone: (229) 423-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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