Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK EDWARD FUNDERBURK
ActiveMR. JACK EDWARD FUNDERBURK is a Pharmacist healthcare provider located in MOULTRIE, Georgia. NPI 1346530847 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · MOULTRIE, GA
Registration Details
- NPI Number
- 1346530847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2011 (15.313019145344 yrs)
- Last Updated
- Apr 18, 2011
- License
-
RPH010666 (GA)
Practice Information
- Address
-
305 6TH ST SEMOULTRIE, GA, 317684842Browse GA providers · Browse ZIP 31768
- Phone
- 2299841378
- Fax
- 2298903185
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in MOULTRIE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JACK LORAN ADAMS III | R.PH., PHARM. D. | 1588774228 |
| MR. FRED EUGENE PURVIS | GA RPH 10245 | 1780770222 |
| JEFFREY SCOTT JARVIS | PHARMD | 1649366550 |
| MR. RICHARD TRUITT BASS | RPH | 1053452045 |
| JOHN GERALD HERNDON | RPH | 1386785335 |
| MICHAEL BRANDON GRIFFIN | PHARMD | 1740488600 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.