MEDICARE: GREG NEWTON 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	15521	GA

General Provider Information

NPI Number	:	1962610030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREG NEWTON RPH

Provider Business Mailing Address
First Line	:	87 LEE ROAD 560
Second Line	:
City	:	SMITHS STATION
State	:	AL
Zip	:	36877-2257
Country	:	US
Telephone Number	:	706-887-0173
Fax Number	:

Provider Business Practice Location Address
First Line	:	5600 MILGEN RD STE 106
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-8701
Country	:	US
Telephone Number	:	706-563-3016
Fax Number	:	706-565-7613

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

Provider Enumeration Date	:	05/20/2007
Last Update Date	:	07/08/2007

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Directions to “ GREG NEWTON RPH” Practice Location

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