Individual
BECKY M POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
128 N BROAD ST, BUENA VISTA, GA 31803
(229) 314-9166
Mailing address
PO BOX 560, BUENA VISTA, GA 31803-0560
(229) 314-9166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH014411
GA
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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