Individual
BRENDA OHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
800 BLAKELY ST, CUTHBERT, GA 39840-5329
(229) 732-2191
(229) 732-5856
Mailing address
1108 GRADY COBB RD, DONALSONVILLE, GA 39845-2822
(229) 524-5565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH015754
GA
Other
Enumeration date
06/17/2011
Last updated
10/26/2013
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