Mr Stanley Lamar Hogan, BSRPH | |
4 2nd St, Jackson, GA 30233-1920 | |
(770) 775-3663 | |
(770) 775-1279 |
Full Name | Mr Stanley Lamar Hogan |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 4 2nd St, Jackson, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386083939 | NPI | - | NPPES |
00029807A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | RPH011320 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Stanley Lamar Hogan, BSRPH 299 James Moore Cir, P O Box 125, Jackson, GA 30233-2421 Ph: (770) 775-3663 | Mr Stanley Lamar Hogan, BSRPH 4 2nd St, Jackson, GA 30233-1920 Ph: (770) 775-3663 |
Vicklyn Lunick Datilus, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 506 E 3rd St, Jackson, GA 30233 Phone: 770-775-7134 | |
Joyce L Fears, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 227 S Mulberry St, Jackson, GA 30233 Phone: 770-957-5561 Fax: 678-792-4866 |