Dr. Carlton Wendell Durrence III, PharmD
Pharmacist in Glennville, GA. Individual provider (NPI-1).
NPI number1972097608
StatusActive
Last updated in NPPESJun 16, 2018
Details
- NPI
- 1972097608
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carlton Wendell Durrence III
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 16, 2018
- Last updated
- Jun 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | rph013805 | GA | Yes |
Practice location
15214 Us Highway 301Glennville, GA 30427
Phone 912-645-3224
Mailing address
15214 Us Highway 301Glennville, GA 30427-8308
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