Doctor Name: | JERRY FORSYTH |
NPI Number: | 1063792711 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 020432 |
Business Practice Address: | 1880 Watson Blvd Warner Robins, GA - 310933612 |
Business Phone Number: | 4789759677 |
Business Fax Number: | |
Mailing Address: | 1880 Watson Blvd, WARNER ROBINS |
State: | GA |
Postal Code: | 310933612 |
Phone Number: | 4789759677 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2011 |
NPI Last Update Date: | 08/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 020432 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |