MEDICARE: MR. ALAN MITCHELL VOGES 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
1	183500000X	Pharmacist	13583	GA

General Provider Information

NPI Number	:	1508919788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALAN MITCHELL VOGES JR. RPH

Provider Business Mailing Address
First Line	:	100 MCFARLAND RD
Second Line	:
City	:	LOOKOUT MTN
State	:	GA
Zip	:	30750
Country	:	US
Telephone Number	:	706-820-1627
Fax Number	:	706-820-1164

Provider Business Practice Location Address
First Line	:	100 MCFARLAND RD
Second Line	:
City	:	LOOKOUT MTN
State	:	GA
Zip	:	30750
Country	:	US
Telephone Number	:	706-820-1627
Fax Number	:	706-820-1164

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	07/08/2007

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