Individual provider · NPI-1

John Thomas Carroll Jr., RPH

Pharmacist · Suwanee, GA

NPI number1033408034
StatusActive
Last updated in NPPESMar 31, 2011

Details

NPI
1033408034
Entity type
Individual (NPI-1)
Name
Mr. John Thomas Carroll Jr.
Credential
RPH
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2011
Last updated
Mar 31, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRPH012681GAYes

Practice location

1085 Peachtree Industrial Blvd
Suwanee, GA 30024-1919

Phone 770-614-2880 · Fax 770-614-2884

Mailing address

1085 Peachtree Industrial Blvd
Suwanee, GA 30024-1919

Phone 770-614-2880 · Fax 770-614-2884

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