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Individual

DR. DANIEL LAMAR MCMILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
426 W 2ND AVE, ALBANY, GA 31701-2282
(229) 312-7590
(229) 312-7595
Mailing address
103 SHORT ST, SYLVESTER, GA 31791-7236
(229) 776-4340
(229) 312-7595

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH018786
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH018786
STATE PHARMACY LICENSE
GA
Enumeration date
03/15/2007
Last updated
07/08/2007
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