Individual
MR. ERNEST WESLEY CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
112 W MAIN ST, SOPERTON PHARMACY INC, SOPERTON, GA 30457
(912) 529-3234
(912) 529-6197
Mailing address
RTE 1 BOX 221-B, SOPERTON, GA 30457
(912) 529-3956
(912) 529-6197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH009726
GA
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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