Individual
MR. JAMES ROBERT VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
645 RUSSELL RD, RITE AID PHARMACY STORE # 11699, LAWRENCEVILLE, GA 30043-3637
(770) 682-5512
(770) 962-7629
Mailing address
645 RUSSELL RD, RITE AID PHARMACY STORE # 11699, LAWRENCEVILLE, GA 30043-3637
(770) 682-5512
(770) 962-7629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10701
GA
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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