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NPI Code Detail

MEDICARE: ANNA H GASSETT PHARMD

MEDICARE: ANNA H GASSETT 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
1183500000XPharmacist25497GA

General Provider Information

NPI Number : 1720362890
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA H GASSETT PHARMD
Provider Business Mailing Address
First Line : 108 WYNNCREST LN
Second Line :
City : THOMASTON
State : GA
Zip : 30286-1326
Country : US
Telephone Number : 706-646-4966
Fax Number :
Provider Business Practice Location Address
First Line : 634 N CHURCH ST
Second Line :
City : THOMASTON
State : GA
Zip : 30286-3612
Country : US
Telephone Number : 706-647-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2011
Last Update Date : 10/06/2011

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Directions to “ ANNA H GASSETT PHARMD” Practice Location

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