Octavian Demetrius Ford, PHARMD Valid NPI

Individual provider · Pharmacist · Glennville, GA

NPI

1366179590

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

RPH033837 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2022-08-08

Last updated

2022-12-22