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Individual

BENJAMIN BRADLEY EDGERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
4404 ALTAMA AVE, BRUNSWICK, GA 31520-3022
(912) 264-5310
(912) 264-6910
Mailing address
4404 ALTAMA AVE, BRUNSWICK, GA 31520-3022
(912) 264-5310
(912) 264-6910

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028120
GA

Other

Enumeration date
11/22/2015
Last updated
11/22/2015
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