Individual
JASON SPROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
5010 STEINER WAY, GROVETOWN, GA 30813-5010
(706) 860-8808
Mailing address
5010 STEINER WAY, GROVETOWN, GA 30813-5010
(706) 860-8808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0028765
GA
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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