Brandall Lovvorn is a Pharmacist in Bremen, Georgia. Brandall Lovvorn practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Brandall Lovvorn is 1720012057. The last update date is 2007-07-08.
Brandall Lovvorn's current location address is Po Box 603, Bremen, Georgia. You can contact this provider via phone number 7705378889 and fax number 7705378817. The mailing address for Brandall Lovvorn is Po Box 603, Bremen, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandall Lovvorn |
|---|---|
| Address | Po Box 603, Bremen, Georgia |
| Phone Number | 7705378889 |
| Fax Number | 7705378817 |
| Sole Proprietor | Y |
| Credentials | RPH. PHARM |
NPI Number Detail
| NPI Number | 1720012057 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 603 |
|---|---|
| City | Bremen |
| State | Georgia (GA) |
| Post Code | 301100603 |
| Phone Number | 7705378889 |
| Fax Number | 7705378817 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 8702 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00977479A | GA | -- |
Post Comment/ Review Below
What is the Brandall Lovvorn's unique identification number?
The Brandall Lovvorn has been assigned the NPI (National Provider Identifier) Number 1720012057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Brandall Lovvorn located?
The Brandall Lovvorn is located at Po Box 603, Bremen, GA 301100603.
What is Brandall Lovvorn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brandall Lovvorn's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720012057 to Brandall Lovvorn?
The Centers for Medicare & Medicaid Services assigned the 1720012057 to Brandall Lovvorn on 2006-07-11.
When was the information regarding Brandall Lovvorn, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brandall Lovvorn, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.