Individual
GARY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
400 N JEFFERSON ST, ALBANY, GA 31701-2359
(229) 432-1141
(229) 439-0305
Mailing address
2811 W DOUBLEGATE DR, ALBANY, GA 31721-9215
(229) 894-5904
(810) 821-8150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012453
GA
183500000X
Pharmacist
PS16448
FL
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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