Individual
MRS. JANE MILLS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1310 13TH AVE, CBOC, COLUMBUS, GA 31901-2335
(706) 257-7200
(706) 653-6645
Mailing address
299 HICKORYWOODS DR, AUBURN, AL 36830
(334) 826-7335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6713
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6713
STATE PHARMACY LICENSE
AL
Enumeration date
10/03/2006
Last updated
07/08/2007
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