Individual
JONATHAN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1197 BIG A RD, TOCCOA, GA 30577-6028
(706) 886-8711
(706) 886-4956
Mailing address
1197 BIG A RD, TOCCOA, GA 30577-6028
(706) 886-8711
(706) 886-4956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029894
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH029894
GEORGIA BOARD OF PHARMACY
GA
Enumeration date
08/16/2017
Last updated
07/21/2022
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