Individual
JIMMY DUANE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1320 CLEVELAND HWY, DALTON, GA 30721-8631
(706) 272-9346
Mailing address
1320 CLEVELAND HWY, DALTON, GA 30721-8631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030030
GA
Other
Enumeration date
08/06/2017
Last updated
08/06/2017
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