Individual
JIMMY MACK BOATRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1600 PERRY LANE RD, BRUNSWICK, GA 31525-9739
(912) 264-2561
Mailing address
1600 PERRY LANE RD, BRUNSWICK, GA 31525-9739
(912) 264-2561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016433
GA
Other
Enumeration date
04/23/2012
Last updated
04/24/2012
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