Whalio Doctors

NPI 1295130235

Ebony Story

Practitioner Pharmacy Technician Fort Stewart, GA

Practice location

Address
1061 Harmon Ave, Fort Stewart, GA 31314-5641
Phone
(912) 767-2673

Registered specialties

Pharmacy Technician Primary
Pharmacy Service Providers Taxonomy 183700000X Licence 330101051156048 (GA)

Registry record

NPI
1295130235
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Nov 2014
Record last updated
4 Nov 2014

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.