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NPI Code Detail

MEDICARE: DR. JAMES W DUKE JR. PHARM.D.

MEDICARE:  DR. JAMES W DUKE JR. PHARM.D.
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
11835G0303XGeriatric Pharmacist37128TN
2183500000XPharmacist16696AL
31835G0303XGeriatric Pharmacist20038GA

General Provider Information

NPI Number : 1588162580
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES W DUKE JR. PHARM.D.
Provider Business Mailing Address
First Line : 90F GLENDA TRCE STE 321
Second Line :
City : NEWNAN
State : GA
Zip : 30265-3858
Country : US
Telephone Number : 404-664-7054
Fax Number :
Provider Business Practice Location Address
First Line : 90F GLENDA TRCE STE 321
Second Line :
City : NEWNAN
State : GA
Zip : 30265-3858
Country : US
Telephone Number : 404-664-7054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2018
Last Update Date : 06/16/2018

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Directions to “ DR. JAMES W DUKE JR. PHARM.D.” Practice Location

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