Joseph Clyde Brogdon in Lakeland - Pharmacist
Joseph Clyde Brogdon - NPI 1336170935
Joseph Clyde Brogdon is a Pharmacist in Lakeland, Georgia. Joseph Clyde Brogdon practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Joseph Clyde Brogdon is 1336170935. The last update date is 2007-07-08.
Joseph Clyde Brogdon's current location address is 110 E Main St, Lakeland, Georgia. You can contact this provider via phone number 2294823677 and fax number 2294822072. The mailing address for Joseph Clyde Brogdon is 110 E Main St, Lakeland, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Clyde Brogdon |
|---|---|
| Address | 110 E Main St, Lakeland, Georgia |
| Phone Number | 2294823677 |
| Fax Number | 2294822072 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1336170935 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 110 E Main St |
|---|---|
| City | Lakeland |
| State | Georgia (GA) |
| Post Code | 316351116 |
| Phone Number | 2294823677 |
| Fax Number | 2294822072 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 10831 |
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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 |
|---|---|---|---|
| 10831 | GA | PHARMACY LICENSE # |
Post Comment/ Review Below
What is the Joseph Clyde Brogdon's unique identification number?
The Joseph Clyde Brogdon has been assigned the NPI (National Provider Identifier) Number 1336170935 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Joseph Clyde Brogdon is located?
The Joseph Clyde Brogdon is situated at the following address: 110 E Main St, Lakeland, GA, 316351116.
What is Joseph Clyde Brogdon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joseph Clyde Brogdon is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.
When was the Joseph Clyde Brogdon's 1336170935 issued?
The Joseph Clyde Brogdon's 1336170935 was issued on 2006-07-05.
As of what date was the information pertaining to Joseph Clyde Brogdon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Joseph Clyde Brogdon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.