NPI 1275133191

Jade Denice Lott

Practitioner Pharmacist Hazlehurst, GA

Practice location

Address: 136 E Jarman St, Hazlehurst, GA 31539-6130
Phone: (912) 375-3646
Fax: (912) 375-5278
Mailing address: 1103 Hampton Rd, Douglas, GA 31533-7914

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH026084 (GA)

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Registry record

NPI: 1275133191
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Oct 2020
Record last updated: 29 Oct 2020

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.