NPI 1174803811

Randall Timothy Plant, BS

Practitioner Pharmacist Evans, GA

Practice location

Address: 4310 Washington Rd, Evans, GA 30809-3957
Phone: (706) 860-4179
Mailing address: 216 Beale Ln, Evans, GA 30809-5446

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 13449 (GA)

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Registry record

NPI: 1174803811
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2011
Record last updated: 25 Aug 2011

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.