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Individual

DR. JASON MITCHEL VANLANDINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2604 PEACH ORCHARD RD, AUGUSTA, GA 30906-2406
(706) 798-5645
(706) 798-0377
Mailing address
2604 PEACH ORCHARD RD, AUGUSTA, GA 30906-2406
(706) 798-5645
(706) 798-0377

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH021313
GA

Other

Enumeration date
06/27/2008
Last updated
06/27/2008
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