| Mr Jack Edward Funderburk, | |
|
305 6th St Se, Moultrie, GA 31768-4842 | |
| (229) 984-1378 | |
| (229) 890-3185 |
| Full Name | Mr Jack Edward Funderburk |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 305 6th St Se, Moultrie, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346530847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | RPH010666 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack Edward Funderburk, 305 6th St Se, Moultrie, GA 31768-4842 Ph: (229) 984-1378 | Mr Jack Edward Funderburk, 305 6th St Se, Moultrie, GA 31768-4842 Ph: (229) 984-1378 |
Dr. Alexandreia Taylor Bassett, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 641 Veterans Pkwy S, Moultrie, GA 31788 Phone: 229-985-6850 Fax: 229-985-9421 | |
Mr. Richard Truitt Bass, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 101 N Main St, Moultrie, GA 31768 Phone: 229-985-9080 Fax: 229-985-5600 | |
Daniel Rustin Dixon, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 641 Veterans Pkwy S, Moultrie, GA 31788 Phone: 229-985-6850 | |
Alex Lam, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2025 1st Ave Se, Moultrie, GA 31788 Phone: 229-890-2776 | |
Mr. Norris Cooper, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 305 6th St Se, Moultrie, GA 31768 Phone: 229-985-1378 Fax: 229-890-3185 | |
Courtney Foy Edwards, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 378 Veterans Pkwy N, Moultrie, GA 31788 Phone: 229-217-4816 |