Carlton Wendell Durrence, PHARMD Valid NPI
Individual provider · Pharmacist · Glennville, GA
- NPI
- 1972097608
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH013805 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2018-06-16
- Last updated
- 2018-06-16
Practice location
15214 Us Highway 301
Glennville, GA 30427
(912) 645-3224