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Clifford Stewart Hurst I

Pharmacist in McDonough, GA. Individual provider (NPI-1).

NPI number1982207049
StatusActive
Last updated in NPPESNov 19, 2020

Details

NPI
1982207049
Entity type
Individual (NPI-1)
Name
Mr. Clifford Stewart Hurst I
Sex
Male
Sole proprietor
No
Enumeration date
Nov 19, 2020
Certification date
Nov 19, 2020
Last updated
Nov 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRPH022711GAYes

Practice location

2720 Highway 42 N
McDonough, GA 30253-4301

Phone 678-432-9450 · Fax 678-432-3029

Mailing address

2720 Highway 42 N
McDonough, GA 30253-4301

Phone 678-432-9450 · Fax 678-432-3029

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