Individual
DAVID RICHEY STANCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2225 E WALNUT AVE, DALTON, GA 30721-4529
(706) 260-2628
(706) 260-2634
Mailing address
2225 E WALNUT AVE, DALTON, GA 30721-4529
(706) 260-2628
(706) 260-2634
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11583
TN
183500000X
Pharmacist
Primary
RPH013039
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11583
TN BOARD OF PHARMACY
TN
01
—
RPH013039
GEORGIA BOARD OF PHARMACY
GA
Enumeration date
06/22/2010
Last updated
06/22/2010
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