Ryan M Chavers
Pharmacist in Austell, GA. Individual provider (NPI-1).
NPI number1982192795
StatusActive
Last updated in NPPESApr 26, 2018
Details
- NPI
- 1982192795
- Entity type
- Individual (NPI-1)
- Name
- Ryan M Chavers
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2018
- Last updated
- Apr 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH020822 | GA | Yes |
Practice location
2704 Jefferson StAustell, GA 30168-4014
Phone 770-944-3100 · Fax 770-944-8980
Mailing address
2704 Jefferson StAustell, GA 30168-4014
Phone 770-944-3100 · Fax 770-944-8980
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