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Individual

DR. JAMES RICHARD WHITEHEAD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1200 NORTHSIDE FORSYTH DR, HOME CARE PHARMACY, CUMMING, GA 30041-7659
(770) 844-3339
(770) 844-3397
Mailing address
1200 NORTHSIDE FORSYTH DR, HOME CARE PHARMACY, CUMMING, GA 30041-7659
(770) 844-3339
(770) 844-3397

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH014209
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH014209
PHARMACY LICENSE
GA
Enumeration date
08/24/2005
Last updated
07/08/2007
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