Doctor Name: | MRS. DOROTHY B PRICE |
NPI Number: | 1215065768 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPH |
License Number: | 11596 |
Business Practice Address: | 1060 Lakes Boulevard Winn Dixie #32 Lake Park, GA - 31636 |
Business Phone Number: | 2295597736 |
Business Fax Number: | 2295593190 |
Mailing Address: | 140 Crooked Creek Lane, QUITMAN |
State: | GA |
Postal Code: | 31643 |
Phone Number: | 2292634796 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835N0905X |
License Number: | 11596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Nuclear |
Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals. |