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NPI Code Detail

MEDICARE: JAMES WOODARD POOLE JR. RPH

MEDICARE: JAMES WOODARD POOLE JR. RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist012997GA

General Provider Information

NPI Number : 1295072288
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES WOODARD POOLE JR. RPH
Provider Business Mailing Address
First Line : 507 INDUSTRIAL BLVD
Second Line :
City : DUBLIN
State : GA
Zip : 31021-1714
Country : US
Telephone Number : 800-575-3160
Fax Number : 877-477-2499
Provider Business Practice Location Address
First Line : 507 INDUSTRIAL BLVD
Second Line :
City : DUBLIN
State : GA
Zip : 31021-1714
Country : US
Telephone Number : 800-575-3160
Fax Number : 877-477-2499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2013
Last Update Date : 01/10/2013

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