| Mr Blakely Sutton Dennard, RPH | |
|
794 Second St, Soperton, GA 30457-2400 | |
| (912) 529-4545 | |
| (912) 529-6161 |
| Full Name | Mr Blakely Sutton Dennard |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 794 Second St, Soperton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316088040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | RPH016834 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Blakely Sutton Dennard, RPH 1748 Florida Ave, Soperton, GA 30457-3431 Ph: (912) 529-5252 | Mr Blakely Sutton Dennard, RPH 794 Second St, Soperton, GA 30457-2400 Ph: (912) 529-4545 |
Mrs. Adele Diane Dennard, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 119 2nd St N, Soperton, GA 30457 Phone: 912-529-4545 Fax: 912-529-6161 | |
Kathryn Lassiter, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 4269 W Main St, Soperton, GA 30457 Phone: 912-529-4961 | |
Tonya Adcock, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 804 Second St, Soperton, GA 30457 Phone: 912-529-2021 Fax: 912-529-2031 | |
Mr. Ernest Wesley Crowe, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 112 W Main St, Soperton Pharmacy Inc, Soperton, GA 30457 Phone: 912-529-3234 Fax: 912-529-6197 |