RICHARD TRUITT BASS

MOULTRIE, GA
NPI1053452045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  12522)
Enumeration Date2007-02-10
Last Update Date2007-07-08
Business Address
Mr. RICHARD TRUITT BASS RPH
101 N MAIN ST
MOULTRIE, GA 31768-3863
Phone number: 229-985-9080
Mailing Address
Mr. RICHARD TRUITT BASS RPH
107 LAKEWOOD DR
MOULTRIE, GA 31788-8706
Phone number: 229-985-6389
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