Adams, Jack Loran

Adams, Jack Loran is an individual health care provider with primary practice located at 3015 Veterans Pkwy S , Moultrie GA 31788-6705. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Adams, Jack Loran can be contacted via phone (229) 985-4815.

Contact Information

Primary practice address
3015 Veterans Pkwy S Moultrie GA 31788-6705
Phone: (229) 985-4815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH018926 Georgia

Profile Details

NPI number 1588774228
LBN Legal business name Adams, Jack Loran
Credentials R.PH., PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 18th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588774228 NPPES
Georgia Other RPH018926 STATE LICENSE NUMBER

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