Individual
DR. BROCK ALLEN VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
289 MALLARD POINTE DR, DOUGLAS, GA 31535-8212
(912) 592-5638
Mailing address
289 MALLARD POINTE DR, DOUGLAS, GA 31535-8212
(912) 592-5638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH036298
GA
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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