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NPI Code Detail

MEDICARE: MR. WENDELL EUGENE LOVETT RPH

MEDICARE:  MR. WENDELL EUGENE LOVETT  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
1183500000XPharmacist15768GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115768OTHERGASTATE LICENSE NUMBER

General Provider Information

NPI Number : 1952374514
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WENDELL EUGENE LOVETT RPH
Provider Business Mailing Address
First Line : 214 S CEDAR CREEK RD
Second Line :
City : CORDELE
State : GA
Zip : 31015-6408
Country : US
Telephone Number : 229-273-7948
Fax Number :
Provider Business Practice Location Address
First Line : 814 RADFORD BLVD
Second Line : BLDG 7200
City : ALBANY
State : GA
Zip : 31705-9911
Country : US
Telephone Number : 229-639-7809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 07/08/2007

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Directions to “ MR. WENDELL EUGENE LOVETT RPH” Practice Location

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