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NPI Code Detail

MEDICARE: DAVID T. RINK

MEDICARE: DAVID T. RINK
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
1183500000XPharmacistRPH015802GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NCPDPOTHERGA1137834

General Provider Information

NPI Number : 1841336047
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID T. RINK
Provider Business Mailing Address
First Line : 1090 EAGLES LANDING PKWY
Second Line :
City : STOCKBRIDGE
State : GA
Zip : 30281-5012
Country : US
Telephone Number : 770-474-5005
Fax Number : 770-474-8093
Provider Business Practice Location Address
First Line : 1090 EAGLES LANDING PKWY
Second Line :
City : STOCKBRIDGE
State : GA
Zip : 30281-5012
Country : US
Telephone Number : 770-474-5005
Fax Number : 770-474-8093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 07/09/2007

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