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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANIEL SOUTHERLAND

Active Sole Proprietor

Pharmacist · EAST ELLIJAY, GA

Registration Details

NPI Number
1912432600
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2017 (9.0012263949383 yrs)
Last Updated
May 1, 2017
License
RPH017796 (GA)
Sole Proprietor
Yes

Practice Information

Address
192 1ST AVE
EAST ELLIJAY, GA, 305408101
Browse GA providers · Browse ZIP 30540
Phone
7066352241
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in EAST ELLIJAY, GA

Name Credential NPI
AMANDA K MULHERIN PHARM. D. 1255620944
MATTHEW WILLIAM HALLMAN R.PH. 1790077436
MRS. CHRISTIE LEE BLACKWELL RPH 1295168128
LORETTA WALBORN PHARM.D. 1477965267
JON MACFADDEN RPH 1326412545
CELESTE NICOLE TAYLOR 1487124418
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.