DAVID PARKER PENDERGRAST

FAYETTEVILLE, GA
NPI1760789150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  rph012452)
Enumeration Date2011-02-21
Last Update Date2011-02-21
Business Address
Mr. DAVID PARKER PENDERGRAST rph
975 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4500
Phone number: 770-719-3340
Mailing Address
Mr. DAVID PARKER PENDERGRAST rph
975 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4500
Phone number: 770-719-3340
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