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Individual

DR. DAVID ALAN BOOKSTAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS, FORT GORDON, GA 30905-5741
(706) 787-8104
(706) 787-2210
Mailing address
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS, FORT GORDON, GA 30905-5741
(706) 787-8104
(706) 787-2210

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5539
SC
1835P1200X
Pharmacotherapy Pharmacist
5539
SC

Other

Enumeration date
11/27/2006
Last updated
06/20/2016
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