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NPI Code Detail

MEDICARE: JOHN THOMAS SHERRER JR. PHARM.D.

MEDICARE: JOHN THOMAS SHERRER JR. PHARM.D.
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
1183500000XPharmacistRPH028447GA

General Provider Information

NPI Number : 1972955953
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN THOMAS SHERRER JR. PHARM.D.
Provider Business Mailing Address
First Line : 660 WHITLOCK AVE NW STE G-1
Second Line :
City : MARIETTA
State : GA
Zip : 30064-3174
Country : US
Telephone Number : 770-514-1414
Fax Number : 770-514-8300
Provider Business Practice Location Address
First Line : 660 WHITLOCK AVE NW STE G-1
Second Line :
City : MARIETTA
State : GA
Zip : 30064-3174
Country : US
Telephone Number : 770-514-1414
Fax Number : 770-514-8300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2016
Last Update Date : 07/01/2016

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