Individual
GREGORY ALAN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1004 S TENNILLE AVE, DONALSONVILLE, GA 39845
(229) 343-5731
(229) 878-2990
Mailing address
PO BOX 70245, ALBANY, GA 31708-0245
(229) 343-5731
(229) 878-2990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH014970
GA
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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