NPI 1376608133

Ryan Rabon, INC.

Organisation Pharmacy Dallas, GA

Practice location

Address: 760 Paulding Plz, Dallas, GA 30132-5028
Phone: (770) 445-6422
Fax: (770) 443-0180

Authorised official

Name: Michael O'Neal Martin
Title: Owner Pharmacist
Phone: (770) 445-6422

Registered specialties

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence 007978 (GA)

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Registry record

NPI: 1376608133
Entity type: Organization
NPI issued: 22 Dec 2006
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.