| Mr Stanley Lamar Hogan, BSRPH | |
|
4 2nd St, Jackson, GA 30233-1920 | |
| (770) 775-3663 | |
| (770) 775-1279 |
| Full Name | Mr Stanley Lamar Hogan |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 4 2nd St, Jackson, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386083939 | NPI | - | NPPES |
| 00029807A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | RPH011320 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stanley Lamar Hogan, BSRPH 299 James Moore Cir, P O Box 125, Jackson, GA 30233-2421 Ph: (770) 775-3663 | Mr Stanley Lamar Hogan, BSRPH 4 2nd St, Jackson, GA 30233-1920 Ph: (770) 775-3663 |
Vicklyn Lunick Datilus, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 506 E 3rd St, Jackson, GA 30233 Phone: 770-775-7134 | |
Joyce L Fears, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 227 S Mulberry St, Jackson, GA 30233 Phone: 770-957-5561 Fax: 678-792-4866 |