FRED EUGENE PURVIS

MOULTRIE, GA
NPI1780770222
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  GARPH10295)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
MR. FRED EUGENE PURVIS GA RPH 10245
WINN DIXIE 101 103 TALMADGE DR
MOULTRIE, GA 31768
Phone number: 229-891-2555
Mailing Address
MR. FRED EUGENE PURVIS GA RPH 10245
163 HWY 37
ADEL, GA 31620
Phone number: 229-896-2637
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