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Contact Information

WALLACE A PARTRIDGE JR, PHARMACIST
5104 WRIGHTSBORO RD.
FRED'S PHARMACY 1699
GROVETOWN, GA30813
 Phone: 706-210-7545
 Fax: 706-210-9578
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for WALLACE A PARTRIDGE JR · (Male)

NPI # 1447569694
Status Active
Credentials PHARMACIST
Entity Individual
Enumeration date 10/05/2010
Last updated 10/05/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 10760
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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