Individual
ERIC DAVID MACOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Mailing address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH018504
GA
Other
Enumeration date
09/21/2011
Last updated
06/13/2012
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