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NPI Code Detail

MEDICARE: DR. CHRISTOPHER RYAN THURMOND PHARMD

MEDICARE: DR. CHRISTOPHER RYAN THURMOND PHARMD
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
1183500000XPharmacist20911GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120911OTHERGASTATE LICENSE

General Provider Information

NPI Number : 1164487179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER RYAN THURMOND PHARMD
Provider Business Mailing Address
First Line : 225 HODGSON DR
Second Line :
City : ATHENS
State : GA
Zip : 30606-2961
Country : US
Telephone Number : 706-548-0205
Fax Number : 706-548-2193
Provider Business Practice Location Address
First Line : 740 PRINCE AVE
Second Line : VILLAGE DRUG SHOP
City : ATHENS
State : GA
Zip : 30606-5908
Country : US
Telephone Number : 706-548-4444
Fax Number : 706-548-2193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 03/26/2014

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