Individual
BROOKE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
111 8TH ST E, TIFTON, GA 31794-4099
(229) 382-4541
Mailing address
431 LENOX BROOKFIELD RD, LENOX, GA 31637-5509
(229) 206-0406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
030111
GA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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