Individual
DAVID LAWRENCE MADRAY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3537 US HIGHWAY 84, BLACKSHEAR, GA 31516-2237
(912) 449-0811
Mailing address
3537 US HIGHWAY 84, BLACKSHEAR, GA 31516-2237
(912) 449-0811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029966
GA
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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