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Individual

MR. LEWIS GLENN JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
102 S 2ND ST, COCHRAN, GA 31014-6805
(478) 934-3868
Mailing address
307 HOLLY DR, DUBLIN, GA 31021-0490
(478) 290-4451

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH011922
GA

Other

Enumeration date
08/29/2011
Last updated
08/29/2011
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